Darrow - Shock

Question 1

What happens to SVR, CO, and PCWP in hypovolemic shock?

Answer 1

Increased SVR to shunt blood to core

Decreased CO and PCWP

Question 2

What happens to SVR, CO, and PCWP in cardiogenic shock?

Answer 2

Decreased CO

Increased PCWP and SVR

Question 3

What happens to SVR, CO, and PCWP in distributive shock?

Answer 3

Increased CO

Decreased SVR and PCWP

Question 4

What is the systolic blood pressure marker for shock?

Answer 4

SBP < 90mmHg

Question 5

What is the mean arterial pressure marker for shock?

Answer 5

MAP <60-65mmHg

Question 6

What is Beck’s Triad?

Answer 6

Evaluation for cardiac tamponade

JVD

Muffled heart sounds

Hypotension

Question 7

What is SIRS?

Answer 7

Systemic Inflammatory Response Syndrome

Dysregulated inflammation related to various disorders

Same category as sepsis

Question 8

What is the initial acid-base imbalance of SIRS?

Answer 8

Respiratory alkalosis due to hyperventillation

Question 9

What are the criteria for SIRS?

Answer 9

HR >90bpm

VR >20/min

Temp >38.3C

Question 10

What is the WBC criteria for SIRS?

Answer 10

>12,000 with >10% bands

Question 11

When is a pt considered to be in sepsis?

Answer 11

When the pt has SIRS with the presence of bacteria

Question 12

When is a pt considered to be in severe sepsis?

Answer 12

When the pt’s sepsis has begun to affect one or more organs systems.

Question 13

When is a pt considered to be in septic shock?

Answer 13

When the pt has severe sepsis and is unable to maintain a MAP >60mmHg after fluid resuscitation

Question 14

What is early goal-directed therapy for septic shock?

Answer 14

Give fluids to maintain CVP at 8-12mmHg

Give pressors as needed to maintain MAP at >65mmHg

Give Norepi first, then vasopressin

Maintain central venous O₂