Critical Care Flashcards
(19 cards)
What are the 7 PE parameters of shock?
Abnormal mm
Tachycardia
Tachypnea
Cool distal extremities
Abnormal pulse quality
Abnormal CRT
Decreased LOC
Define: Hypovolemic Shock
Low blood volume
Define: Distributive Shock
Septic, endotoxic
Causes: bacterial, trauma, burns, pancreatitis, anaphylaxis
Define: Cardiogenic Shock
Heart failure
What are 2 examples of obstructive shock?
Pericardial effusion
FATE
What are 5 causes of acute hypovolemic shock?
Trauma
Coagulopathies
Surgery
GI bleeding
Neoplasia/necrosis
Peri-anesthetic arrest is associated with _________ odds of survival to hospital discharge.
Higher
What 2 monitoring tools are essential for CPR?
ECG
etCO2
When should IVF be used during CPR?
Only if death from hypovolemia (bled out)
What are indications that a patient is likely to receive a blood transfusion?
iCa < 1.26
AFS > 3
BE < -6.6
PCV is not on this list
What is the risk of using sodium bicarbonate to treat hyperkalemia?
Risk respiratory acidosis becoming worse
Last resort, need to make sure patient is ventilating okay
What are 5 ways hyperkalemia can be addressed?
How is lactate evaluated?
Cannot predict patient outcome based on a single lactate - pay attention to trends!!!
What is the most common electrolyte abnormality to develop after a large volume blood transfusion?
Hypocalcemia
What are 4 causes of a metabolic acidosis?
Lactate
Uremic acid
Ketones
Ethylene glycol
Metabolic Alkalosis
High bicarb
Metabolic acidosis
Low bicarb
Respiratory alkalosis
low co2
Respiratory acidosis
High co2
