Shock

Question 1

What is CVP and the normal measurement

Answer 1

Pressure in the night atrium. Indicative of fluid status
Normal 0-6

Question 2

PAP measurement and normal

Answer 2

Pulmonary artery pressures increased in hypervolemia and pulm HTN decreased in hypovolemia
Normal 15-25/5-15

Question 3

PCWP/PAOP and the normal

Answer 3

Measurement of the pressure of the left ventricle at the end of diastole
6-12 normal

Question 4

CO normal

Answer 4

4-8 l/min

Question 5

CI and normal values

Answer 5

CO per BSA
2.5-4

Question 6

SVR and normals

Answer 6

The resistance of the systemic circulation that the ventricle must pump against
800-1200

Question 7

SVO2 and normals

Answer 7

Effectiveness of peripheral o2 delivery. Decreased in anemia, fever, dyspnea. Increased in hypothermia, sepsis
Normal 60-80%

Question 8

Hypovolemic Shock CI, CVP, PCWP, SVR, and SVO2

Answer 8

CI: low
CVP: low
PCWP: low
SVR: high
SVO2: Low

Question 9

Cardiogenic shock CI, CVP, PCWP, SVR, and SVO2

Answer 9

CI: Low
CVP: high
PCWP: high
SVR: High
SVO2: low

Question 10

Septic shock CI, CVP, PCWP, SVR, and SVO2

Answer 10

CI: high then low
CVP: low then high
PCWP: low then high
SVR: low
SVO2: Low

Question 11

Anaphylactic and neurogenic shock CI, CVP, PCWP, SVR, and SVO2

Answer 11

CI: low
CVP: low
PCWP: low
SVR: low
SVO2: Low

Question 12

Obstructive shock CI, CVP, PCWP, SVR, and SVO2

Answer 12

CI: Low
CVP: high
PCWP: normal
SVR: high
SVO2: high

Question 13

Treatment for Hypovolemic shock

Answer 13

IVF, pressors, PRBCS

Question 14

Cardiogenic shock tx

Answer 14

IVF then pressors and/or dopamine

Question 15

What is quick SOFA

Answer 15

Used to identify patients with suspected infection that are at risk for poor outcome
-Hypotensive
-Tachypnea
-GCS <15

Question 16

Management of septic shock

Answer 16

IVF, then ABX in the first hour, vasopressors

Question 17

Anaphylactic shock tx.

Answer 17

Maintain airway, IVF, Benadryl, Epi for stridor or resp distress

Question 18

Neurogenic shock tx

Answer 18

Airway, IVF, vasopressors

Question 19

Obstructive shock tx

Answer 19

Maintain BP while treating underlying cause
IVF, Vasopressors, intubate, anticoag

Question 20

Which condition causes both Cardiogenic and obstructive shock

Answer 20

Cardiac Tamponade

Question 21

What is a cause of cardiogenic shock

Answer 21

Reduced tissue perfusion

Question 22

What is the treatment for autonomic dyreflexia

Answer 22

Antihypertensives such as nifedipine

Question 23

What raises and what lowers SVO2

Answer 23

Raises: Hypothermia
Lowers: Anemia, hemorrhage, seizures

Question 24

What type of shock does pulmonary emboli typically create

Answer 24

Obstructive

Question 25

How to calculate SVR

Answer 25

MAP-CVP x80/ CO