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Flashcards in shock states Deck (26):
1

Name the 4 main types of shock

hypovolemic

cardiogenic

distributive

hypovolemic

2

name three types of distributive shock

neurogenic

anaphylactic

septic

3

Name three examples of obstructive shock

massive PE

tension pneumothorax

cardiac tamponade

4

low CVP, low wedge, high SVR 

hypovolemic shock

5

What is the mainstay of therapy for hypovolemic shock?

IV fluids

6

Causes of cardiogenic shock

acute pump failure

acute MI

valvular insufficiency

7

CVP elevated, wedge elevated, CI/CO low

cardiogenic shock

8

What is the first line therapy for cardiogenic shock, 2nd line?

1st ensure adequate preload, 2nd vasopressors

9

What type of obstructive shock would cause high CVP, low wedge, low CI/CO, high SVR?

saddle PE

10

What is the treatment for obstructive shock?

IV fluid and treat underlying cause

11

low SVR, low CVP, low CO*

distributive shock

12

What is the treatment for hives as an allergic reaction?

benadryl

13

What is the indication for epi in allergic reaction?

respiratory distress and/or stridor

14

If a patient has shock with respiratory distress and they feel like their throat is closing off with stridor/wheezing, what do you do FIRST?

intubate FIRST, because you can always take the tube out but you may not be able to get it in

15

What is your first drug of choice in anaphylactic shock?

IV fluid

16

According to Barkley, what is the first drug of choice in all types of shock?

IV fluid

17

What type of distributive shock is associated with bradycardia?

neurogenic

18

CVP low, wedge low, SVR low, CO/CI high initially

septic shock 

19

What is the first and second line treatment for septic shock?

IV fluid first

treat the underlying cause next (antibiotics)

20

What is normal CVP?

2-6mmHG

21

What is normal PAP?

PA systolic 15-30

PA diastolic 8-15

22

What is normal wedge pressure?

6-12

23

What is normal CI

2.4-4.0

24

What is normal SVR

800-1200

25

What is normal PVR?

<250

26