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Flashcards in Shock Deck (26):
0

Compensatory stage shock

- in co
Symp nerve system adrenalin
+ co bp adh
Vasoconstriction

1

Progressive stage shock

Vasodilation due to lactic acidosis

Decrease in co & bp
Hypotension

2

Clinical signs compensatory stage

Anxious
Tachycardia
Cool pale
-uop

3

Progressive stage s&s

Obtunded&stuporous
Hypotension
- cup pcwp co.
+ Svr

4

Carcinogenic shock s&s

Confused restless
Rapid resp. Rales
Rapid thready pulse
Neck vein distention
Narrow pulse pressure
S3 s4
Hypotension
Oliguria
- co
+ cvp. Svr pawp

5

Treatment cardiogenic shock

Decreased afterload
- myocardial o2 demand
+ coronary perfusion
+ coronary output

6

Purpose iabp

- afterload
- myocard o2 demand
+ coronary perfusion
+ cardiac output

7

Iabp contraindications

Aortic insufficiency
Peripheral vascular dx

8

Iabp interventions

Bed <15
Assess pulses
Monitor bleeding

9

Septic shock warm stage

Confusion
+ co
+ rr
Looking good
Best abg
Good bp
+uop
30 minutes to 72 hrs

10

Septic shock cold stage

Stuporous & obtunded
- co
- uop
Poor abg
Met acidosis
Hypotension

11

Shock pre load. Afterload. Co

+ + -

12

Hypovolemic shock preload. Afterload. Co

- + -

13

Septic (warm) preload. After load. Co.

- - +

14

Septic (cold) preload afterload co

- + -

15

Anaphylactic preload. Afterload. Co

- - -

16

Treat asystole

TEA
Transcutaneous pace
Epinephrine
Atropine(not done anymore at mccg)

17

Bradycardia

All trained dogs eat iams
Atropine
Transcutaneous pacing
Dopamine
Epinephrine
Isoproteronol

18

Causes pea 5 h's 5 t's

Hypervolemia
Hypoxia/hydrogen ions
Hypothermia
Hyperkalemia

Tension pneumo
Thrombosis (lung heart)
Tamponade
Table toxins

19

Vf or pulse less vt

Epi defibrillator
Amio lido mag procainamide
Defib

20

Eft give

B and Ca blockers

21

_ &_ contraindicated in wide complex tachycardia

Ca b blockers & digoxin

22

Procainamide ___ co

Decreases

23

Verapamil &adenosine ____in widecomplex tachycardia

Contraindicated

24

Mobitz1 wenkebach in__wall infarction

Inferior

25

Mobutu 2 in ___infarct

Anterior