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Patología quirúrgica > Shock > Flashcards

Shock Flashcards

1
Q

___ is a physiologic state characterized by systemic reduction in tissue perfusion, resulting in decreased
tissue oxygen delivery.

A

Shock

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2
Q

Shock usually result of inadequate _______ delivery

A

blood flow and/or oxygen

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3
Q

Effects on organ of the shock

A 
Hypotension 
Tachypnea
Pulmonary edema 
Mayor reabsorption of water 
Coagulation abnormalities 
Less urine output
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4
Q

Types of shock

A 
Hypovolemic 
Cardiogenic 
Metabolic/Respiratory 
Obstrutive 
Distributive
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5
Q

Etiology of hypovolemic shock

A

Haemorrhage
Plasma body water loss
Electrolytes imbalance

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6
Q

Etiology of cardiogenic shock

A

Valvular heart disease Myocardial infarction Cardiac arrhythmias Cardiomyopathy

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7
Q

Beck Triad

A

hyptension, jugular distension, absent heart sounds

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8
Q

Etiology of obstructive shock

A

Cardiac tamponade
Pulmonary embolism
Tension Pneumothorax
Air embolism

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9
Q

Etiology of neurogenic shock

A

Paraplegia
Quadriplegia
Trauma to spinal cord
Spinal anesthesia

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10
Q

Etiology of anaphylactic shock

A

Injections
Anaesthetics
Stings
Shelfish

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11
Q

Etiology of septic shock

A

Virus
Fungi
Protozoa

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12
Q

Types of clinical features of the shock

A

Mild, moderate, severe

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13
Q

Clinical features of mild shock

A 
Sweat 
Urine output normal 
Pulse rate normal 
Blood pressure normal 
Patient feels thirsty and cold
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14
Q

Clinical features of moderate shock

A

Confused
Oliguria
Pulse rate >100

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15
Q

Clinical features of severe shock

A 
Unconscious 
Gasping respiration 
Anuria 
Rapid pulse 
Profound hypotension
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16
Q

Stages of shock

A

Initial
Non-progressive (compensated stage)
Progressive (decompensated stage)
Refractory

17
Q

Stage of the shock where the cells become leaky and switch to anaerobic metabolism.

A

initial

18
Q

Stage of the shock where attempt to correct the metabolic upset of shock.

A

Non-progressive (compensated stage)

19
Q

Stage of the shock where eventually the compensation will begin to fail.

A

Progressive (decompensated stage)

20
Q

Stage of the shock where organs fail and the shock can no longer be reversed.

A

refractory

21
Q

All of the following are causes related to obstructive shock except

A

cardiac arrhytmias

22
Q

Which of the following is the agent of choice in Severe septic shock?

A

Dobutamine

23
Q

Which of the following is the agent of choice in distributive shock states?

A

Vasopressors - Phenylephrine / NA

24
Q

A 19-year-old male is brought to the hospital after sustaining an abdominal injury while playing rugby. He is complaining of left upper abdominal pain and has some bruising over the same area. His pulse is 140/min and his BP is 100/82mmHg. What is the type of shock?

A

Hypovolaemic shock.

Patología quirúrgica (8 decks)

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