Shock Flashcards
Hypovolemic shock, cardiogenic shock, septic shock, anaphylactic shock, neurogenic shock
DIC risk factors
Infx/sepsis
Malignancy
Allergic rxns
Ob complications
Shock
Toxins
S+S of DIC
Petechiae and purpura
Hematuria
Melena
Nose bleeds
Tx of DIC
Packed RBCs
Fresh frozen plasma
Platelets
Meds: vasopressors, heparin, cryoprecipitate
Oxygen
Hypovolemic shock causes
Fluid shift (edema or ascites)
Severe dehydration
Trauma
GI bleed
Postpartum bleed
Tx of hypovolemic shock
Large gauge IVs
Fluid and blood replacement: LR/NS, albumin
Cardiogenic shock def
Heart can’t pump enough blood to meet perfusion needs of body
Causes of cardiogenic shock
Damage from acute MI
Severe hypoxemia
Acidosis
Hypoglycemia
Cardiomyopathy
Cardiac tamponade
Dysrhythmias
Tx of cardiogenic shock
For MI: angioplasty, thrombolytics
Oxygen
Vasopressors
Diuretics
Intra-aortic balloon pump
Septic shock (sepsis) causes
Pneumonia
Urosepsis
Bacteria
Intra-abdominal infx
Wound infx
Invasive procedures
Indwelling medical devices (cath)
Tx of septic shock
Fluid replacement
Abx
Vasopressors
Neuromuscular blockage agents and sedation
Meds to prevent stress ulcers: PPI, H2 blocking agents
Neurogenic shock causes
Spinal cord injury
Spinal anesthesia
Nervous system drainage
Insulin rxn
Tx of neurogenic shock
Protect spine
Assess and manage airway
Elevate HOB
Iv fluids
Watch for blood clots: heparin and compression devices
Vasopressors
Anaphylactic shock tx
High flow oxygen
Epi
Other possible meds: antihistamines, albuterol, corticosteroids
Fluids
Stay w/ pt and monitor
