409 Final 7 (shock) Flashcards

1
Q

Shock general general definition

A

widespread abnormal cellular metabolism that happens when oxygenation and perfusion are insufficient

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2
Q

shock is the response of your entire body when there’s not enough

A

O2

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3
Q

Most often shock is related to a ___ problem, but it could be a variety of things

A

cardio

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4
Q

One complication of shock is m…

A

multiple organ dysfunction syndrome

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5
Q

Distributive shock includes

A

Septic
Neurogenic
Anaphylactic

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6
Q

The manifestations of shock are mostly from

A

the body trying to compensate for the lack of O2, especially in the vital organs

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7
Q

Tissue perfusion is dependent on

A

MAP

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8
Q

A common way to get cardiogenic shock is

A

MI

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9
Q

Distributive shock is when

A

the fluid is somewhere in the body, but not in the vascular space

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10
Q

Shock caused by anaphylaxis is when

A

there’s an allergic reaction that happens in seconds!!

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11
Q

An example of something that can cause capillary leak syndrome

A

burns

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12
Q

In shock you have decreased perfusion that leads to ___ ___ metabolism

A

anaerobic cellular metabolism

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13
Q

When there’s a 5 or 10 ____ in MAP, the baroreceptors detect the change

A

decrease

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14
Q

When the body detects decreased MAP, it responds by

A

redirecting blood flow (aka shunting)

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15
Q

If MAP keeps decreasing, the body uses anaerobic cellular metabolism, which makes lactic acid, which causes

A

electrolyte imbalance and acid-base imbalance

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16
Q

The affects are temporary if shock is corrected within

A

1 or 2 hours

17
Q

The 4 stages of shock

A

initial
nonprogressive
progressive
refractory

18
Q

In the initial stage, the MAP has gone down by

A

5 or 10

19
Q

In the initial stage, the body begins to compensate by

A

increasing HR and mild vasoconstriction

20
Q

In the nonprogressive stage, the MAP is down by

A

10 or 15

21
Q

In the nonprogressive stage, you start to have a decrease in

A

pulse pressure

22
Q

In the nonprogressive stage, the body starts to secrete

A

renin and ADH

23
Q

In the nonprogressive stage, the body starts to secrete renin and ADH, which manifests as

A

peeing less and thirst