Identifying Shock Flashcards
1
Q
A small oxygen extraction ratio rules out a shock state? T/F?
A
False
2
Q
A MAP >= 65 ensures that oxygen delivery to organs and tissues is sufficient to meet metabolic needs? T/F
A
False
3
Q
Shock Index = HR/SBP
A
Normal < 0.7
>1.0 = most specific indicator of hyperlactemia and 28 day mortality
>0.8 = predicts post-intubation crash, need more resus
4
Q
Lactate Acid Value
A
Indicative of catecholamine response to physiologic stress
Lactate of >4 is suggestive of shock
Normal values do not rule out shock
Useful in trending response to treatment over time