Chapter 17 Flashcards
Shock develops as a consequence of one of the three events
Blood volume decreases
The heart fails as an effective pump
Peripheral blood blood vessels massively dilate
Extracellular fluid is significantly diminished , because reduced blood plasma , it also can be caused from significant fluid loss, such as burns , large drainage burns reduce fluid intake
Hypovolemic shock
The amount of fluid in the circulatory system is not reduced, yet the fluid circulation does not permit effective tissue perfusion
Disruptive shock
Is the rarest type of shock that insult to the vasomotor center in the medulla of the brain or to the peripheral nerves that extend from the spinal cord to the blood vessels.
Neurogenic shock
Also called toxic shock has the highest mortality rate. Associated rate with overwhelming bacterial infection
Septic shock
Harmful chemicals release by the bacterial cells that are probably the major cause of septic shock
Endotoxins
Is caused by a severe allergic reaction that follows exposure to a substance to which a person is extreme sensitivity
Anaphylactic shock
Drugs with alpha adrenergic activity increase peripheral vascular resistance and raise
Vasopressers
What would you assess for In cardiogenic shock
Auscultation of chest for abnormal lung and heart sounds
What would you asses for in hypovolemic shock
Lab test low rbc and hemoglobin
What would you asses for in septic shock
Elevated serum Lactate levels suggest lactic precipitated by sepsis
What medication can raise bp, increase heart rate, and promotes blood circulation
Vassopressers or inotropics
What is the most common type of shock
Hypovolemic shock