Shock

Question 0

Signs and symptoms of compensated shock

Answer 0

Mild tachycardia
Confusion, combative
Delayed cap refill
Normal or slightly elevated BP

Question 1

Shock

Answer 1

Inadequate perfusion to the tissues

Question 2

Signs and symptoms of progressive shock

Answer 2

Moderate tachycardia
Confusion, unconsciousness
Delayed cap refill, cold, cyanosis
Decreased BP

Question 3

signs and symptoms of irreversible shock

Answer 3

Bradycardia, severe dysrrhymias, coma
Pale, cool, clammy
Frank hypotension**
Inc RR

Question 4

Adequate perfusion of cells depends on 3 components

Answer 4

Pump-heart
Tank-vessels
Fuel-blood

Question 5

How many liters of blood in body

Answer 5

5-6L

Question 6

% mortality increase for every temp degree loss

Answer 6

10% mortality increase

Question 7

Afterload

Answer 7

Total resistance against which the blood must be pumped

SVR

Question 8

3 things affect blood amount

Answer 8

Preload
Cardiac contractile force
Afterload

Question 9

Frank-sterling mech

Answer 9

Elastic, stretch a little, a lot of pressure

Stretch a lot, more pressure

Question 10

Dromatrope

Answer 10

Domino effect, 1 cell, 2 cell, ripples (conductivity)

Question 11

Automaticity

Answer 11

Auto, no coordinated activity

Question 12

Para-nerves

Answer 12

Vagal-10

Ocular-3

Question 13

Systolic pressure

Answer 13

Max pressure executed by heart

Question 14

Diastolic pressure

Answer 14

Pressure in vessels without heart contracting

Has to overcome

Question 15

Which can dilate and constrict better

Answer 15

Arteries better than veins

Question 16

Fick principle

Answer 16

Ability of O2 to go on and off hemoglobin

Question 17

% O2 in air and vasculature

Answer 17

21% in air

16% in vasculature

Question 18

Reni-angiotensin

Answer 18

Kidneys secrete renin
Angio-vascular
Angiotensin-tension of tank

Question 19

Stages of shock

Answer 19

Compensated
Progressive (decompensated)
Irreversible

Question 20

compensated shock

Answer 20

Body keeping up, 1st stage

Question 21

Progressive shock

Answer 21

Decompensated, progressing to death

No longer keeping up with demand

Question 22

Irreversible shock

Answer 22

Even if intervention, enough tissue has died, organism dies,

Question 23

Hypo perfusion is measured by

Answer 23

CO2

Question 24

Beta 1

Answer 24

Increase chron, Inotrope, automaticity | Heart

Question 25

Beta 2

Answer 25

(Lungs) Bronchodilator inc RR

Question 26

Types of shock

Answer 26

``` Cardiogenic Hypovolemic Distributive Septic Anaphylactic Neurogenic ```

Question 27

Cardiogenic shock Causes Signs Fix

Answer 27

Causes: MI, trauma, infection, pericardial tamponade Signs: normal BP, narrowing PP, pulmonary edema if not overcoming Afterload Fix: nitrate-decrease AL, dopamine-inc vent press

Question 28

Hypovolemic shock Causes Signs Fix

Answer 28

Classic shock-fluid loss Causes: hemmhorage, trauma, dehydration, bone fracture, plasma loss, sweating Signs: AMS, pale (shunt) cool clammy, normal then rapid pulse, normal BP then HTN Fix: control bleed, airway, bonus crystalline, PSAG

Question 29

Neurogenic shock Causes Signs Fix

Answer 29

A form of distributive Injury to spinal cord No release of hormones, no responses, warm, no shunt, no change in HR SIGNs: warm dry skin, low BP, slow pulse TREAT: airway, immob, temp, IV dopamine, fluid bolus because pipes too big

Question 30

Anaphylactic shock Causes Signs Fix

Answer 30

Severe immune response to foreign object-kill invader SIGNS: inc RR, sneezing, coughing wheezing, skin flush, itchy, hives, swell, cyanosis, Cap leak-rash, bronchoconstrict, inc HR, N/V, cramp, AMS, seizure, TREAT: airway-ET, IV antihistamines, epi, cort, vasopressors-tighten back, fluids

Question 31

Septic shock Causes Signs Fix

Answer 31

Sick, very sick SIGNS: inc BP, high fever, no fever, hypothermic, skin flushed, pale, cyanotic, diff breath, altered lungs, AMS TREAT: airway, IV of crystalloid, dopamine to support BP, monitor heart

Question 32

Alpha 2

Answer 32

Dec norepi

Question 33

Alpha 1

Answer 33

Vasoconstrictor, - chronotrope, + Inotrope

Question 34

Beta 3

Answer 34

Lipid pluses