Cardiology (Other) Flashcards
What 6 things mediate shock
Catecholamines, renin, ADH, glucagon, cortisol, growth hormone
What is the most common cause of distributive shock?
Sepsis
Is sepsis usually gram negative or gram positive?
Gram negative
What attribute of BP is most important to remember with shock?
Low BP is less important than significant drop in BP from baseline.
What can cause cardiogenic shock?
MI, valve issues, HTN, dysrhythmias, heart failure, myocarditis, ANYTHING HEART
What does shock look like?
A pt comes in with cool/mottled extremities, diminished capillary refill, and weak thready pulses.
What is the first think you want to get with a patient who is in shock?
Blood work. CBC, blood type and cross-match, coagulation parameters.
What is class I heart disease?
No limitation of physical activity
What is class II heart disease?
Ordinary physical activity results in symptoms but the limitation is slight
What is class III heart disease?
Marked limitation in activity. Pt comfortable at rest but less than ordinary activity is enough to cause symptoms
What is class IV heart disease?
No activity can be performed without discomfort. May even have symptoms at rest.
After doing all the ABC precautions, IV fluid, O2 etc…what do you want to watch and ensure?
Urine output is 0.5mL/kg/hour
List inotropes. What does that mean?
Dobutamine, dopamine, epinephrine. Increase CO by increasing contractility.
List positive and negative chronotrops. What does that mean?
Adrenaline (positive), digoxin (negative). Rate control
Dopamine is also a ____ in addition to an inotrope.
Pressor.
