Hypovolemic Shock Flashcards
When does hypovolemic shock occur?
when total body fluid is decreased
What medical issues can cause hypovolemic shock?
dehydration or hemorrhage
Symptoms of hypovolemic shock:
HR
Increased
Symptoms of hypovolemic shock:
BP
Decreased
**MAP as well
Symptoms of hypovolemic shock:
neck/hand veins?
flat!
Symptoms of hypovolemic shock:
Cap refill
Delayed
Symptoms of hypovolemic shock:
Peripheral pulses
deminished
Symptoms of hypovolemic shock:
skin?
pale, cool, moist
**due to vasoCONSTRICTION
Symptoms of hypovolemic shock:
CO/CI
Decreased
Symptoms of hypovolemic shock:
CVP
Low
Symptoms of hypovolemic shock:
PAWP
Decreased
Symptoms of hypovolemic shock:
SVR
Increased
Symptoms of hypovolemic shock:
respiratory
Increased RR
Shallow respirations
Symptoms of hypovolemic shock:
Respiratory alkalosis or acidosis?
ALKALOSIS–blowing off lots of CO2
What is the focus of treatment for hypovolemic shock (3)
- reverse shock
- restore fluid volume
- prevent complications
What is the primary intervention for hypovolemic shock?
fluid resuscitation!!!
Which fluid comes first, colloid or crystalloid?
Crystalloid
What are the Crystalloida?
NS and LR
What are the Colloids?
Blood products, proteins
**blood may be needed after hemorrhage
What drug classes can be used for hypovolemic shock? (3)
- Vasoconstrictors
- Inotropes
- Agents enhancing myocardial perfusion
Which drug class:
Dobutamine
Inotrope
Which drug class:
Sodium nitroprusside
Enhance myocardial perfusion
Which drug class:
Norepinephrine
Vasoconstrictor
Which drug class:
Dopamine
Vasoconstrictor
Which drug class:
Milirinone
Inotropic agents
Which drug class:
Phenylephrine HCl
Vasoconstrictor
