Shock

Question 1

what is the definition of shock?

Answer 1

inadequate cellular energy production

Question 2

what are the 3 most common types of shock?

Answer 2

hypovolemic, distributive, cardiogenic

Question 3

What is the mainstay of all forms of shock except cardiogenic?

Answer 3

rapid IV access and large volume crystalloids

Question 4

what are the 2 keys for treatment of cardiogenic shock?

Answer 4

oxygen and low stress

Question 5

“shock” dose for dogs

Answer 5

90 ml/kg

Question 6

“shock” dose for cats

Answer 6

50 ml/kg

Question 7

what is the crystalloid of choice for head trauma and why

Answer 7

0.9% saline, highest Na-> least likely to inc cerebral edema

Question 8

MOA for colloids?

Answer 8

hyperoncotic and pull fluid into the vascular space

Question 9

MOA for hypertonic saline?

Answer 9

shifts water from extravascular to intravascular spaces

Question 10

Most shock patients can tolerate acute hemodilution to less than ____

Answer 10

20%

Question 11

Dose of pRBC and FFP

Answer 11

10-20 ml/kg

Question 12

dose of whole blood

Answer 12

20-30 ml/kg

Question 13

2 indications for pRBCs

Answer 13

severe anemia, coagulopathies

Question 14

3 indications for FFP

Answer 14

blood loss, coagulopathy, hypoalbuminemia

Question 15

___ secondary to reduced perfusion is helpful in cats to differentiate from other causes of dyspnea

Answer 15

hypothermia