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CRRAB I--Wk 5 > Shock--Adams > Flashcards

Flashcards in Shock--Adams Deck (15):
1

1st step for Tx of all shock types

fluids, fluids, fluids

normal saline

2

What are the 4 types of shock

cardiogenic

extracardiac

disruptive/dissociative

neurogenic

3

What is a common finding in most shock types?

hypotension

4

Why might a shocky patient not be tachy?

beta-blocker use

(very common)

5

Common lab findings of shock

(disruption of normal cellular gradients due to loss of Na+/K+ ATPase)

hyponatremia

hyperkalemia

lactic acidosis

metabolic acidosis

hyperglycemia

6

Two stages of shock

systemic inflammatory response syndrome

muli-organ dysfunction syndrome

7

Systemic inflammatory response syndrome

septic shock-like disorder that can progress to

multi-organ system dysfunction syndrome

8

Multi-organ dysfunction syndrome

how to diagnose

labs

9

Shock

classical findings

cool, clammy skin

hypotension

altered mental status

metabolic acidosis

10

When do you not get cool, clammy skin during shock?

during disruptive/dissociative shock

such as during pre-eclampsia

11

Basic monitoring of shocky patient

mental status

renal function (urine output)

organs most sensitive to ischemia

12

Shock index

heart rate/systolic

>1 is bad

13

Examples of disruptive/dissociative cardiogenic shock

septic shock

anaphylaxis

14

Examples of extracardiac shock

PE

cardiac tampanade

15

2 basic Tx for shocky patients

fluids

vasopressors (epi, NE, dopamine, dobutamine)