Chapter 42: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome: Manifestations by Type Flashcards
*cool or warm skin
neurogenic
*stridor
anaphylactic
*metallic taste
anaphylactic
*increased cardiac biomarkers
cardiogenic
*myocardial dysfunction
septic
*decreased hematocrit
hypovolemic
increased CVP (central venous pressure)
cardiogenic, obstructive
decreased PAWP (pulmonary artery wedge pressure)
hypovolemic, anaphylactic
*feeling of impending doom
anaphylactic
*increased BNP
cardiogenic
decreased cerebral perfusion (anxiety, confusion, agitation)
cardiogenic, hypovolemic, obstructive
*loss of reflex activity
neurogenic
decreased capillary refill
cardiogenic, hypovolemic
*respiratory alkalosis to respiratory acidosis
septic
increased lactate
hypovolemic, septic
increased urine specific gravity
hypovolemic, septic
*bowel dysfunction
neurogenic
*respiratory dysfunction related to level of injury
neurogenic
*positive blood cultures
septic
changing temperatures
neurogenic, septic
*flushing skin
anaphylactic
*biventricular dilation
septic
*dysrhythmias
cardiogenic
*coma (late)
septic
*bradycardia
neurogenic
*cyanosis
cardiogenic
*decreased hemoglobin
hypovolemic
*increased sodium/water retention
cardiogenic
*hypoxemia
septic
*decreased LOC
anaphylactic
decreased CO
cardiogenic, hypovolemic, neurogenic, anaphylactic, obstructive
*third spacing
anaphylactic
decreased CVP (central venous pressure)
hypovolemic, neurogenic, anaphylactic
*decreased SV (stroke volume)
cardiogenic
*wheezing
anaphylactic
*respiratory failure
septic
decreased urine output
cardiogenic, hypovolemic, septic, obstructive
*increased BUN
cardiogenic
tachycardia
cardiogenic, hypovolemic, anaphylactic, septic, obstructive
*pulmonary hypertension
septic
*dry skin
neurogenic
*GI bleeding
septic
*decreased to absent bowel sounds
obstructive
*decreased ejection fraction
septic
*chest pain
anaphylactic
*ARDS
septic
*decreased skin perfusion
neurogenic
*absent (not decreased) bowel sounds
hypovolemic
increased SVR (systemic vascular resistance)
cardiogenic, hypovolemic, obstructive
*decreased urine sodium
septic
*pruritus
anaphylactic
*pulmonary infiltrates on chest x-ray
cardiogenic
increased BG
cardiogenic, septic
*warm and flushed skin to cool and mottled skin (late)
septic
*hyperventilation
septic
*increased procalcitonin
septic
bradypnea (late)
hypovolemic, obstructive
*incontinence (renal)
anaphylactic
*increased PAWP (pulmonary artery wedge pressure)
cardiogenic
*edema of larynx and epiglottis
anaphylactic
shortness of breath
anaphylactic, obstructive
*changing WBCs
septic
pallor
cardiogenic, hypovolemic, obstructive
*abdominal pain, cramping, diarrhea
anaphylactic
*paralytic ileus
septic
nausea and vomiting
cardiogenic, anaphylactic
*left ventricular dysfunction on echocardiogram
cardiogenic
cool, clammy skin
cardiogenic, hypovolemic, obstructive
decreased preload
hypovolemic, obstructive
*urticaria
anaphylactic
*flaccid paralysis below level of lesion
neurogenic
crackles
cardiogenic, septic
*decreased renal blood flow
cardiogenic
*angioedema
anaphylactic
*bladder dysfunction
neurogenic
*decreased (not absent) bowel sounds
cardiogenic
*electrolyte changes
hypovolemic
*decreased SVR (systemic vascular resistance)
neurogenic
tachypnea
cardiogenic, hypovolemic, obstructive
*decreased platelets
septic