Clinical Shock

Question 1

Shock Definition

Answer 1

Lack of perfusion in the cell level
Outdoor level: failure of circulatory system

Question 2

Heart fails

Answer 2

Cardiogenic shock

Question 3

Pipes fail (blood vessels)

Answer 3

Distributive or Vasogenic shock
- septic shock, anaphylactic shock, neurogenic shock

Question 4

Fluid loss

Answer 4

Hypovolemic shock
- hemorrhagic and non-hemorrhagic shock
- #1 cause of death in the wilderness

Question 5

Distributive or Vasogenic shock

Answer 5

loose their tone or start to dilate causing pressure to fall

Question 6

Hemorrhagic shock

Answer 6

• occurs through blood loss

Question 7

Non-hemorrhagic shock

Answer 7

• occurs through dehydration or large area burns

Question 8

Obstructive shock

Answer 8

Pericardial tamponade, tension pneumothorax, pulmonic embolism

Question 9

Metabolic/ respiratory shock

Answer 9

Drowning

Question 10

Hypovolemic shock 3 stages

Answer 10

1. Compensatory
2. Decompensatory
3. Irreversible

Question 11

Compensatory

Answer 11

Lack of blood flow via lower blood pressure –> lack of oxygen going to organs so body compensates to make up for the deficit in oxygen

Question 12

Vitals for compensatory stage

Answer 12

-LOR: anxious
-HR and RR: increase to meet oxygen demand
-Skin: PCC (pale, cool, clammy)
- Pupils: PERRL

Question 13

Decompensatory vitals

Answer 13

LOR: decreases
HR and RR: still increased
Skin: cold and blue, cyanotic
Pupils: PERRL and sluggish

Question 14

Irreversible shock vitals

Answer 14

LOR: unresponsive
HR and RR: decrease to conserve
Skin: ashen, ice cold to the touch
Pupils: dilated and unreactive

Question 15

Treatment hypovolemic shock

Answer 15

• Keep patient warm
• don’t give them water, moisten their lips
• don’t sit them up, lie them down to conserve energy – same elevation as heart