Organ Systems

Question 1

MAP equation

Answer 1

MAP = CO x SVR

Question 2

Signs of shock

Answer 2

Hypotension
Oliguria
Decrease Perfusion
AMS
Metabolic Acidosis/Increased Lactate/Base Deficit

Question 3

Adrenal insufficiency

Answer 3

Acute CV collapse
Unresponsive to fluids and pressors
Hyperkalemia
Hypoglycemia
n/v, abd pain

Question 4

Initial change in hemorrhagic shock

Answer 4

Increased diastolic pressure

Question 5

Diagnostic criteria for significant pulmonary dysfunction

Answer 5

Need for ventilation

PaO2:FiO2 ratio under 300 for 24 hrs

Question 6

Diagnostic criteria for significant cardiovascular dysfunction

Answer 6

Need for isotopic drugs

CI less than 2.5

Question 7

Diagnostic criteria for significant kidney dysfunction

Answer 7

Creatinine > 2x baseline

Need for dialysis

Question 8

Diagnostic criteria for significant liver dysfunction

Answer 8

Bilirubin > 3

PT > 1.5x control

Question 9

Diagnostic criteria for significant nutrition dysfunction

Answer 9

10% reduction in lean body mass
Albumin under 2.0
Total lymphocyte count of 1 or less

Question 10

Diagnostic criteria for significant CNS dysfunction

Answer 10

GCS

Question 11

Diagnostic criteria for significant coagulation dysfunction

Answer 11

Platelets under 50
Fibrinogen under 100
Need for factor replacement