Shock Flashcards

(30 cards)

1
Q

___ is determined by the radius of the resistance vessels

A

systemic vascular resistance (SVR)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Blood pressure formula:

BP =

A

CO x SVR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

__ is measured through central line

a. PAOP
b. CVP

A

b. CVP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

__ is measured through PA catheter or Swan-Ganz

A

PAOP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

__ is an estimate of tight atrial pressure (preload)

A

central venous pressure (CVP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

__ is an indirect estimate of left atrial pressure (preload) aka pulmonary capillary wedge pressure (PCWP)

A

pulmonary artery occlusion pressure (PAOP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hemorrhage and severe dehydration are a __ problem

a. pump
b. fluid
c. pipe

A

b. fluid

hypovolemic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

PE and tamponade are a __ problem

a. pump
b. fluid
c. pipe

A

a, c

pipe and or pump

obstructive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sepsis and anaphylaxis are a __ problem

a. pipe
b. pump
c. fluid

A

a. pipe

distributive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In hypovolemic shock which are increased/decreased?

CVP
PCWP
CO
SVR

A

CVP: decreased
PCWP: decreased
CO: decreased
SVR: increased

only SVR is increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In cardiogenic shock which are increased/decreased?

CVP
PCWP
CO
SVR

A

CVP: increased
PCWP: increased
CO: decreased
SVR: increased

only CO decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In obstructive shock (tamponade) which are increased/decreased?

CVP
PCWP
CO
SVR

A

CVP: increased
PCWP: increased
CO: decreased
SVR: increased

only CO is decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In obstructive shock (PE) which are increased/decreased?

CVP
PCWP
CO
SVR

A

CVP: increased
PCWP: increased or normal
CO: decreased
SVR: increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In distributive shock (pre-resuscitation which are increased/decreased?

CVP
PCWP
CO
SVR

A

CVP: decreased
PCWP: decreased
CO: decreased
SVR: decreased

all decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

In distributive shock (post-resuscitation) which are increased/decreased?

CVP
PCWP
CO
SVR

A

CVP: increased
PCWP: increased
CO: increased
SVR: decreased

only SVR is decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

osmolarity formula:

osm =

A

2na + (BUN/2.8) + (glucose/18)

17
Q

What is normal osmolarity of blood?

18
Q

What is lower limit of tolerable osmolarity?

19
Q

alpha 1 receptors are associated with ___

a. vasodilatoin
b. vasoconstriction
c. increased blood volume
d. increased chronotropy

A

b. vasoconstriction

20
Q

alpha 2 receptors are associated with __

a. vasodilatoin
b. vasoconstriction
c. increased blood volume
d. increased chronotropy

A

a. vasodilation

21
Q

beta 1 receptors are associated with __

a. vasodilatoin
b. vasoconstriction
c. increased blood volume
d. increased chronotropy

A

d. increased chronotropy

22
Q

beta 2 receptors are associated with __

a. vasodilatoin
b. vasoconstriction
c. increased blood volume
d. increased chronotropy

A

a. vasodilation

23
Q

dopamine is associated with ___

a. vasodilatoin
b. vasoconstriction
c. increased blood volume
d. increased chronotropy

A

b. vasoconstriction

24
Q

vasopressin 1 is associated with ___

a. vasodilatoin
b. vasoconstriction
c. increased blood volume
d. increased chronotropy

A

b. vasoconstriction

25
vasopressin 2 is associated with ___ a. vasodilatoin b. vasoconstriction c. increased blood volume d. increased chronotropy
c. increased blood volume
26
First line vasopressor for cardiogenic shock?
norepinephrine dopamine is NOT recommended
27
Which inotrope has some alpha receptor activity? a. milrinone b. isoproterenol c. dobutamine
c. dobutamine increases CO vasodilation also vasoconstriction
28
Initial fluid challenge for distributive shock is at least __ mL/kg of crystalloid
30
29
What is goal MAP in septic shock?
at least 65mmHg
30
Obstructive shock (acute PE): Which thrombolytic is fibrin selective and has a short half life of 5 minutes?
alteplase