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Flashcards in Surgery - Shock Deck (44):
1

Phase of shock where there are VASOCONSTRICTION, FLUID SHIFT TO ECF, and SALT AND H2O CONSERVATION

Compensated
Decompensated
Irreversible

Compensated

2

PHASE OF SHOCK with ongoing tissue injury and continued hypoperfusion; can be reversed with proper resuscitation

Compensated
Decompensated
Irreversible

Decompensated

3

PHASE OF SHOCK with persistent hypoperfusion and fluid resuscitation; vasopressors fail to maintain adequate BP

Compensated
Decompensated
Irreversible

Irreversible

4

TYPE OF SHOCK: Cause is significant and sudden blood and fluid loss

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Hemorrhagic

5

TYPE OF SHOCK: Most common cause of shock in the surgical or trauma patient

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Hemorrhagic

6

TYPE OF SHOCK: Signs are agitation, pallor, cold clammy extremities, tachycardia, weak or absent peripheral pulse

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Hemorrhagic

7

At what percentage of blood loss will the signs for HEMORRHAGIC SHOCK be apparent?

25-30% blood loss

8

Treatment for HEMORRHAGIC SHOCK

Secure airway
Control bleeding
IV volume resuscitation

9

TYPE OF HEMORRHAGIC SHOCK: less than or equal to 100mL blood loss

Compensated
Mild
Moderate
Severe

Compensated

10

TYPE OF HEMORRHAGIC SHOCK: 1000-1500mL blood loss

Compensated
Mild
Moderate
Severe

Mild

11

TYPE OF HEMORRHAGIC SHOCK: 1500-2000mL blood loss

Compensated
Mild
Moderate
Severe

Moderate

12

TYPE OF HEMORRHAGIC SHOCK: > 2000

Compensated
Mild
Moderate
Severe

Severe

13

TYPE OF HEMORRHAGIC SHOCK: < 100 heart rate

Compensated
Mild
Moderate
Severe

Compensated

14

TYPE OF HEMORRHAGIC SHOCK: > 100 heart rate

Compensated
Mild
Moderate
Severe

Mild

15

TYPE OF HEMORRHAGIC SHOCK: > 120 heart rate

Compensated
Mild
Moderate
Severe

Moderate

16

TYPE OF HEMORRHAGIC SHOCK: > 140 heart rate

Compensated
Mild
Moderate
Severe

Severe

17

TYPE OF HEMORRHAGIC SHOCK: orthostatic changes in BP

Compensated
Mild
Moderate
Severe

Mild

18

TYPE OF HEMORRHAGIC SHOCK: marked full BP

Compensated
Mild
Moderate
Severe

Moderate

19

TYPE OF HEMORRHAGIC SHOCK: Profound full bp

Compensated
Mild
Moderate
Severe

Severe

20

TYPE OF HEMORRHAGIC SHOCK: moderate tachypnea

Compensated
Mild
Moderate
Severe

Moderate

21

TYPE OF HEMORRHAGIC SHOCK: marked tachypnea

Compensated
Mild
Moderate
Severe

Severe

22

TYPE OF HEMORRHAGIC SHOCK: anuria

Compensated
Mild
Moderate
Severe

Severe

23

TYPE OF HEMORRHAGIC SHOCK: Anxious

Compensated
Mild
Moderate
Severe

Mild

24

TYPE OF HEMORRHAGIC SHOCK: Confused

Compensated
Mild
Moderate
Severe

Moderate

25

TYPE OF HEMORRHAGIC SHOCK: lethargic

Compensated
Mild
Moderate
Severe

Severe

26

TYPE OF SHOCK: cause is extensive myocardial infarction

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Cardiogenic

27

Criteria for cardiogenic shock

Sustained hypotension
Reduced cardiac index
Elevated pulmonary artery wedge pressure

28

TYPE OF SHOCK: signs are hypotension, cool mottled skin, depressed mental status, tachycardia, diminished pulse

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Cardiogenic

29

Cardiogenic shock treatment: fxn of dobutamine

Stimulate beta1 receptors and increase cardiac output

30

Cardiogenic shock treatment: fxn of dopamine

Stimulate alpha1 receptor -> vasoconstriction

31

Cardiogenic shock treatment used for patients unresponsive to other treatments

Phosphodiesterase inhibitors Amrinone and Milrinone

32

TYPE OF SHOCK: final common pathway for profound and prolonged shock of any etiology

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Septic

33

TYPE OF SHOCK: failure of vascular smooth muscle to constrict appropriately

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Septic

34

Most likely cause of sepsis in neonates

Group B strep
E. coli bearing a pathogenic K1 capsule
Klebsiella spp
Enterobacter spp

35

TYPE OF SHOCK: Signs are enhanced cardiac output, peripheral vasodilation, fever, hyperglycemia, tachycardia, confusion, malaise, oliguria, hypotension

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Septic

36

Systemic inflammatory response to infection

Sepsis

37

Sepsis with 1 or more dysfunctional organ system

Severe sepsis

38

TYPE OF SHOCK: diminished tissue perfusion as a result of loss of vasomotor tone of peripheral arterial beds

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Neurogenic

39

Neurogenic shock can be secondary to spinal cord injury from vertebral body fracture of the low thoracic and sacral region. True or false?

False

Fracture should be of the CERVICAL OR HIGH THORACIC

40

TYPE OF SHOCK: Signs are bradycardia, hypotension, cardiac dysrhythmia, decreased CO, decreased peripheral vascular resistance, warm extremities, motor and sensory deficit

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Neurogenic

41

TYPE OF SHOCK: mechanical obstruction of venous return

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Obstructive

42

TYPE OF SHOCK: most commonly due to presence of tension pneumothorax

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Obstructive

43

TYPE OF SHOCK: signs are respiratory distress, hypotension, diminished breath sounds, hyperresonance to percussion, jugular vein distention

Hemorrhagic
Cardiogenic
Septic
Neurogenic
Obstructive

Obstructive

44

Treatment for obstructive shock: thoractomy should be inserted at 5th ICS AAL. True or false?

False

4th ICS AAL