Emergency War Surgery, Chapter 7 Shock, Resuscitation, and Vascular Access

Question 1

Usually how much blood volume loss has occurred in the shock patient with hypotension?

Answer 1

30-40%

Question 2

What are two causes of distributive shock?

Answer 2

Neurogenic

Septic

Question 3

What type or shock is associated with bradycardia and hypotension?

Answer 3

Neurogenic

Question 4

Neuroginc is typically the result of spinal injuries above what level?

Answer 4

T6

Question 5

By what volume does 1000mL Lactated Ringers expand intravascular volume by within 1 hour of administration?

Answer 5

250 mL

Question 6

By what volume does Hextend 500mL expand intravascular volume by within 1 hour?

Answer 6

800 mL

Question 7

In which condition would Hextend not be as effective in increasing intravascular volume?

Answer 7

a patient with significant dehydration

Question 8

In neuroginc shock, what blood pressure do you try to maintain with intravascular resuscitation?

Answer 8

SBP > 110

or mean arterial pressure > 80

Question 9

In the neuroginc shock patient, what medication can you add after intravascular resuscitation?

Answer 9

Vasopressors like Phenylephrine

Question 10

After definitive hemorrhage control, what urine output do you want to achieve in the patient with shock?

Answer 10

> 0.5 mL/kg/h

Question 11

What is the maximum time IO devices should be in place?

Answer 11

24 hours

Question 12

How much blood volume is lost in a patient in Class I shock?

Answer 12

<15%

Question 13

How much blood volume is lost in a patient in Class II shock?

Answer 13

15-30%

Question 14

How much blood volume is lost in a patient in Class III shock?

Answer 14

30-40%

Question 15

How much blood volume is lost in a patient in class IV shock?

Answer 15

> 40%