CVR 44 Shock

Question 1

Define classify shock

Answer 1

Compensated - reversible damage

Decompensated - irreversible damage

Question 2

class 1 shock

Answer 2

Less than 15% lost

Question 3

Class4

Answer 3

greater than 40%

Question 4

Class 3

Answer 4

30-40%

Question 5

Two overal responses explaining signs of shock

Answer 5

hypothalamic pituitary adrenal axis CRH relaes stimulating to release ACTH which releases cortisol

Sympatho adrenal SA axis

Question 6

What class does BP change at

Answer 6

class 3
Class 2 Diastolic stlightly raised

Question 7

Thready, pale and cold with raised respiration

Answer 7

class 3

Question 8

tachy with normal everything

Answer 8

class 1

Question 9

Alert thirsty

Answer 9

class 1

Question 10

anxious agressive thirsty

Answer 10

class 2 and 3

Question 11

drowsy confused unconsious

Answer 11

class 4

Question 12

Treatment

Answer 12

TREAT THE CAUSE!
Maintain Circulating Volume (Blood, fluids)
Medications
Synthetic catecholamines (Adr, NorAd, Dobutamine, Isoprenaline)
Antibiotics
Anti-Arrhythmica
Steroids in selected sepsis cases (and in Addisonian Crisis)
Intensive care
Support the orgnas (Breathing, Renal Replacement Rx, Cardiac Support)