Shock Flashcards
1
Q
Which types of shock initially maintain BP?
A
Hypovolemic and Cardiogenic/Obstructive
2
Q
What to use to replace fluids?
A
Crystaloid (less times colloid)
3
Q
Dropping BP can be an early sign of this type of shock
A
Distributive
4
Q
Mainstay Tx for Distributive shock
A
Pressors: Epi, NE, Dopamine, Phenelephrine
- and Tx underlying cause
5
Q
Tx for Hemorrhagic Shock
A
Blood
6
Q
Tx for crashing CHF
A
Large Group Dr. says BPAP, Shock Dr. says Lasix or Dobutamine (slide72), but also positive pressure.
*1st Tx for emergency, other for long-term stabilization
7
Q
Order of Events of Tx as BP is tanking with Sepsis
A
- Culture, Abs, Crystaloid infusion
- 1st line pressors (NE)
- 2nd line pressors and adjunt therapy
8
Q
Exam Question: What is qSOFA for?
A
Sepsis
*Slide 87
9
Q
How to use qSOFA?
A
Septic pt with RR > 22 = 1 point
Altered mentation = 1 point
Systolic BP < 100 = 1 point
