Shock

Question 1

Factors responsible for maintaining healthy cells

Answer 1

1) Blood Volume
2) Pump
3) Vascular tone

Question 2

Factors responsible for systemic vascular resistance (most to least important)

Answer 2

1) Diameter
2) Viscosity
3) Length

Question 3

Types of shock

Answer 3

1) Hypovolemic
2) Cardiogenic
3) Obstructive
4) Distributive shock

Question 4

Hypovolemic shock

Answer 4

Loss of blood volume

Question 5

Causes of hypovolemic shock

Answer 5

1) Loss of whole blood

2) Loss of fluids

Question 6

Cardiogenic shock

Answer 6

impaired pump function, pump can’t contract adequately enough

Question 7

Causes of cariogenic shock

Answer 7

1) myocardial infarction
2) cardiac myopathy
3) congenital heart defect
4) certain dysrhythmias
5) Valve disorders

Question 8

Obstructive shock

Answer 8

blockage of blood flow in or out of thoracic vasculature

Question 9

Causes of obstructive shock

Answer 9

1) Pulmonary embolus
2) Tension pneumothorax
3) Pericardial tamponade

Question 10

Distributive shock

Answer 10

Caused by an imbalance in vascular tone

Question 11

Types of distributive shock

Answer 11

1) Neurogenic
2) Septic
3) Anaphylactic

Question 12

Neurogenic shock

Answer 12

Spinal chord injury at/above T6

Question 13

Septic shock

Answer 13

Infection in blood system

Question 14

Anaphylactic shock

Answer 14

Severe allergic reaction

Question 15

Stages of shock

Answer 15

1) Initial stage
2) Compensatory stage
3) Progressive stage
4) Refractory stage

Question 16

Initial stage

Answer 16

Early stages at cellular level, cells don’t get enough oxygen
Person is agitated

Question 17

Compensatory stage

Answer 17

Body tries to compensate

Question 18

Factors that influence compensatory stage

Answer 18

1) Serverity
2) General health
3) Age
4) Tissue demands at the time of shock

Question 19

Signs and symptoms of compensatory stage

Answer 19

1) Tachycardia
2) Tachypnea
3) Cold/pale skin
4) decreased urine output
5) restless/agitated
6) low BP
7) Diaphoresis
8) Weak peripheral pulses
9) Narrow pulse pressure

Question 20

Progressive stage

Answer 20

When compensatory stage falls, this is last chance to save the client

Question 21

Signs and symptoms of progressive stage

Answer 21

1) Anxiety/confused/decreased LOC
2) Cold/cyanotic/mottled skin
3) No diaphoresis
4) No urine output
5) RR at least 30 breaths/min
6) Heart rate over 120
7) No peripheral pulses
8) BP less than 80mmHg/ unobtainable

Question 22

Refractory stage

Answer 22

Irreversible and inevitable

Multiple organ failure/dysfunction