Hypovolemic Shock Flashcards by Melissa Johnson | Brainscape

Q

When does hypovolemic shock occur?

A

when total body fluid is decreased

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Q

What medical issues can cause hypovolemic shock?

A

dehydration or hemorrhage

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Q

Symptoms of hypovolemic shock:

HR

A

Increased

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Q

Symptoms of hypovolemic shock:

BP

A

Decreased

**MAP as well

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Q

Symptoms of hypovolemic shock:

neck/hand veins?

A

flat!

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Q

Symptoms of hypovolemic shock:

Cap refill

A

Delayed

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Q

Symptoms of hypovolemic shock:

Peripheral pulses

A

deminished

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Q

Symptoms of hypovolemic shock:

skin?

A

pale, cool, moist

**due to vasoCONSTRICTION

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Q

Symptoms of hypovolemic shock:

CO/CI

A

Decreased

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Q

Symptoms of hypovolemic shock:

CVP

A

Low

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Q

Symptoms of hypovolemic shock:

PAWP

A

Decreased

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Q

Symptoms of hypovolemic shock:

SVR

A

Increased

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Q

Symptoms of hypovolemic shock:

respiratory

A

Increased RR

Shallow respirations

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Q

Symptoms of hypovolemic shock:

Respiratory alkalosis or acidosis?

A

ALKALOSIS–blowing off lots of CO2

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Q

What is the focus of treatment for hypovolemic shock (3)

A

reverse shock
restore fluid volume
prevent complications

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Q

What is the primary intervention for hypovolemic shock?

A

fluid resuscitation!!!

Q

Which fluid comes first, colloid or crystalloid?

A

Crystalloid

Q

What are the Crystalloida?

A

NS and LR

Q

What are the Colloids?

A

Blood products, proteins

**blood may be needed after hemorrhage

Q

What drug classes can be used for hypovolemic shock? (3)

A

Vasoconstrictors
Inotropes
Agents enhancing myocardial perfusion

Q

Which drug class:

Dobutamine

A

Inotrope

Q

Which drug class:

Sodium nitroprusside

A

Enhance myocardial perfusion

Q

Which drug class:

Norepinephrine

A

Vasoconstrictor

Q

Which drug class:

Dopamine

A

Vasoconstrictor

Q

Which drug class:

Milirinone

A

Inotropic agents

Q

Which drug class:

Phenylephrine HCl

A

Vasoconstrictor