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Flashcards in Clinical Shock Tables Deck (19):
1

For Ischemic Cardiogenic Shock, starting with decreased perfusion what is the vicious cycle that occurs?

1. decreased perfusion
2. cardiac injury
3. decrease stroke volume
4. increased catecholamines
5. increased heart rate and then back to #1

2

What are the inoconstrictor drugs?

norepi
epi
dopamine

3

What are the inodilator drugs?

dobutamine
dopexamine
isoproterenol

4

What defines severe sepsis?

induced hypotension treatable with fluid resuscitation
elevated lactate
elevated creatinine
elevated bilirubin

5

What treatment for septic shock should be completed within 3 hours?

1. meausre lactate
2. blood culture before ABX
3. administer broad spectrum ABX
4. administer crystalloid if pt has hypotension or high lactate

6

What treatment for septic shock should be completed within 6 hours?

5. apply vasopressers
6. if still hypotensive, meausre central venous pressure and central venous oxygen saturation
7. remeasure lactate

7

If I have:
blood loss <100 bpm
capillary fill is normal
resp rate 14-20
normal extremities
awake/agitated +

What class hemorrhage is it?

Class 1

8

If I have:
blood loss 750-1500 ml
systolic BP normal
diastolic elevated
pulse >100 bpm
capillary fill >2 sec
resp rate 20-30
pale extremities
agitated ++

What class hemorrhage is it?

Class 2

9

If I have:
blood loss 1500-2000 ml
systolic BP decreased
diastolic decreased
pulse >120 bpm
capillary fill >2 sec
resp rate 30-40
pale and cool extremities
disoriented/confused

What class hemorrhage is it?

class 3

10

If I have:
blood loss >2000 ml
systolic BP very low
diastolic not measurable
pulse >140 bpm and weak
capillary fill >2 sec
resp rate >35
pale and cool extremities
obtunded/lethargic

What class hemorrhage is it?

class 4

11

Pt has Locally limited cutaneous reaction. What class of anaphylactic shock?

class 0

12

Pt has Disseminated cutaneous reaction (flush, pruritus, generalized urticaria), Mucosal reaction (nose, conjunctival) systemic reaction (agitation, headache). What class of anaphylactic shock?

class 1 (mild systemic)

13

Pt has Hemodynamic dysregulation (tachycardia, arrhythmia, hypotension ), mild dyspnea (mild bronchospasm), vomiting, defecation. What class of anaphylactic shock?

class 2 (moderate systemic)

14

Pt has Shock, bronchospasm with severe dyspnea
obtundation, vomiting, defecation. What class of anaphylactic shock?

class 3 (severe systemic)

15

Pt has Respiratory and circulatory arrest. What class of anaphylactic shock?

class 4 (vital organ failure) this is bad soooo sooo bad

16

Decreased cardiac index
increased systemic vascular resistance
decreased venous capacitance
decreased PCWP
decreased SVO2

What type of hemodynamic shock?

hypovolemic shock

17

increased ++ cardiac index
decreased systemic vascular resistance
increased venous capacitance
decreased or increased PCWP
decreased or increased SVO2

What type of hemodynamic shock?

septic shock

18

decreased ++ cardiac index
increased ++ systemic vascular resistance
no change venous capacitance
increased PCWP
decreased SVO2

What type of hemodynamic shock?

cardiogenic shock

19

increased cardiac index
decreased systemic vascular resistance
no change venous capacitance
decreased PCWP
decreased SVO2

What type of hemodynamic shock?

neurogenic shock