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Patient Centered Care 3 > Final 5 - Perfusion > Flashcards

Final 5 - Perfusion Flashcards

1
Q

Will you have an increase or decrease in MAP in all stages of shock

A

decreased

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2
Q

Early Signs shock:

  • MAP decrease _____ mmHg from Baseline
  • Effective Compensation
  • O2 -> Vital Organs
  • _____ HR
A

Early Signs shock:

  • MAP decrease 10mmHg from Baseline
  • Effective Compensation
  • O2 -> Vital Organs
  • increased HR
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3
Q

Compensatory Signs Shock:

  • MAP decrased _____mmHg from Baseline
  • _____ Renin
  • _____ ADH
  • _____ Pulse Pressure
  • _____ HR
  • _____ pH
  • _____
  • _____
A

Compensatory Signs Shock:

  • MAP decreased 10-15mmHg from Baseline
  • Increased Renin
  • Increased ADH
  • Decreased Pulse Pressure
  • Increased HR
  • Decreased pH
  • Restless
  • Apprehensive
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4
Q

Progressive Signs Shock:

  • MAP decreased _____mmHg from Baseline
  • Tissue/Organ _____
  • _____ Urine (Oliguria)
  • _____, Rapid Pulse
  • _____ pH
  • _____ _____ _____
A

Progressive Signs Shock:

  • MAP decreased 20mmHg from Baseline
  • Tissue/Organ Hypoxia
  • Decreased Urine (Oliguria)
  • Weak, Rapid Pulse
  • Decreased pH
  • Sensory Neural Changes
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5
Q

Refractory Signs Shock:

  • Excessive Cell/Organ _____
  • Multi System Organ _____
  • _____ pH
A

Refractory Signs Shock:

  • Excessive Cell/Organ Damage
  • Multi System Organ Failure
  • decreased pH
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6
Q

6 Early signs of shock

  • BP
  • Pulse
  • color
  • skin
  • face
  • lungs
A
  • normal BP
  • increased HR
  • normal color
  • cool/moist skin
  • anxious
  • increased rate, increased depth
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7
Q

6 late signs of shock

  • BP
  • Pulse
  • color
  • skin
  • face
  • lungs
A
  • < 90mmHg Systolic
  • increased rate/weak
  • pale
  • cold
  • coma
  • increased rate. increased shallow
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8
Q

How to calculate PP (pulse pressure)

A

systolic - diastolic

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9
Q

a _____ pulse pressure is an earlier sign of deterioration then a drop in systolic pressure < _____

A

narrowing

90

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10
Q

normal PP

A

30-40 mmHg

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11
Q

elevation of the diastolic BP releases catecholamine’s and attempts to increase venous return through _____

A

vasoconstriction

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12
Q

_____ diastolic BP = _____ release = _____ venous return = _____

A

increased
catecholamine
increased
vasoconstriction

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13
Q

Which stage of shock do you want to be in to try and fix things

A

compensatory stage

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14
Q

With shock, you want to _____ BP do you don’t lose it

A

hold

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15
Q

usually _____ alkalosis comes first, then _____ acid accumulates = _____ acidosis, but usually with _____ shock, it is mixed

A

respiratory
lactic
metabolic
septic

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16
Q

which stage of shock does the LOC really change

A

progressive

- become more restless & confused

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17
Q

which stage of shock do you get vasoconstriction

A

compensatory, continues in progressive

18
Q

which stage of shock do you get shunting of blood

A

compensatory

19
Q

which stage of shock do you really get a drop in BP

A

progressive

20
Q

which stage of shock does it affect lungs, heart, kidneys, and other areas

A

progressive

21
Q

which stage of shock can they go into acute renal failure

A

progressive

22
Q

which stage of shock is irreversible

A

refractory

23
Q

Shock state resulting from decreased intravascular volume due to fluid loss

A

hypovolemia

24
Q

Shock state resulting from impairment or failure of myocardium

A

cardiogenic

25
Q

Circulatory shock state resulting from overwhelming infection causing relative hypovolemia.

A

septic

26
Q

Shock state resulting from loss of sympathetic tone causing relative hypovolemia.

A

neurogenic

27
Q

Circulatory shock state resulting from severe allergic reaction producing overwhelming systemic vasodilation, relative hypovolemia.

A

anaphylactic

28
Q

_____ shock: don’t want to put head down, do modified trendelenburg does NOT work

A

cardiogenic

29
Q

MONA for cardiogenic shock

A

morphine (opioids)
oxygen
nitroglycerin
aspirin

30
Q

Stimulates beta-receptors for myocardial strength

A

dobutamine

31
Q

Vasodilator to reduce preload.

A

nitroglycerin

32
Q

improves tissue perfusion, increases co.

A

low-dose dopamine

33
Q

causes vasoconstriction, increases workload.

A

high-dose dopamine

34
Q

dilates blood vessels

A

morphine

35
Q

most shock pt’s have serious dysrhythmias =

A

antiarrhythmic meds

36
Q

describe antibiotic treatment for septic shock

A 
first = broad spectrum
then = narrow spectrum
37
Q

What do you do very FIRST for septic shock

A

get culture & sensitivity!

38
Q

What is VERY important for all types of shock

A

FLUIDS!!!

39
Q

thermoregulation is treatment for what shock

A

neurogenic shock

40
Q

vasoactive meds are treatment for what shock

A

neurogenic & all types

41
Q

what types of fluids do you use for fluid replacement in treatment of shock

A

crystalloids

colloids

Patient Centered Care 3 (13 decks)

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