Forms of Shock Flashcards
Most common type of shock in surgical or trauma patient
hemorrhagic/hypovolemic
Result of acute blood loss EXCEPT
a. reflexive decreased baroreceptor stimulation
b. sympathetic stimulation
c. increased output from atrial stretch receptors
d. release of epinephrine and norepinephrine
C
T/F
Shock in trauma patient should be presumed to be due to hemorrhage until proven otherwise
T
Patient A with hemorrhagic shock, stable vital signs, no CNS symptoms has a percentage blood loss of _____ and estimated volume of blood loss of _____
<15%, 750mL
Patient B with tachycardia (>120 bpm) and hypotension has approximated % blood loss of _____ and estimated volume of blood loss of _____.
30-40%, 1,500-2000mL
Patient C with tachycardia (>100bpm) and orthostatic hypotension has approximated % blood loss of _____ and estimated volume of blood loss of _____.
15-30%, 750-1,500mL
What is the CNS symptom of C? (tachycardia and orthostatic hypotension)
Anxiety
What is the CNS symptom of patient B? (tachycardia and hypotension )
Confusion
What is the CNS symptom of patient A ? (stable vitals)
none
Patient D Obtunded with HR >140bpm, and severe hypotension has approximated % blood loss of _____ with estimated volume of _____?
> 2,000
In the non-trauma patient, ______ must always be considered as a site for blood loss
GI tract
The pleural cavity can hold how many L of fluid?
2-3L
Retroperitoneal hemorrhage typically occurs inassociation with _______
pelvic fractures
In the resuscitation bay, what confirms retroperitoneal hemorrhage secondary to pelvic fractures?
pelvic radiography
In damage control resuscitation, initial resuscitation is limited to keep SBP around __ to __ mmHg
80 to 90
