Lab Studies And Imaging

Question 1

What is the expected effect of shock on leukocytes?

Answer 1

Early: Leukocytosis
Late: Leukopenia

Question 2

What is the expected effect of shock on thrombocytes?

Answer 2

Cardiogenic: Thrombocytosis
Septic/resuscitative: thrombocytopenia

Question 3

Metabolic acidosis vs alkalosis in diarrhea vs vomiting

Answer 3

Metabolic alkalosis: vomiting
Metabolic acidosis: diarrhea

Question 4

EKG, CXR, and ECHO results in shock

Answer 4

EKG: r/o ischemia
CXR: R/O tamponade,pneumothorax, pulm edema, infection
ECHO: pericarditis, cardiogenic shock, lesions

Question 5

What is the use of cardiac us in shock

Answer 5

• Cardiac Ultrasound
• Pericardial effusion or tamponade
• Overall size & contractility of ventricles

Question 6

What is seen in cardiogenic shock on a cardiac us

Answer 6

• Left ventricle hypokinesis

Question 7

What indicates a coronary artery lesion in a cardiac us

Answer 7

• Regional wall motion abnormalities

Question 8

What does PE and RV infarction display as on a cardiac us

Answer 8

• Right ventricular dilatation & hypokinesis

Question 9

Normal serum lactate

Answer 9

<2.2

Question 10

UO goal

Answer 10

0.5mls/kg/hr

Question 11

Hgb goal

Answer 11

7-8