shock

Question 1

hypovolemic shock etiology

Answer 1

hemorrhage, traumatic injury, dehydration. iatrogenic (too much diuresis)

Question 2

cold clammy skin, low volume status, dry mucous membranes, decreased JVP, pre-rental azotemia. which shock?

Answer 2

hypovolemic

Question 3

LV failure, decreased contractility- which type of shock

Answer 3

cardiogenic shock

Question 4

how do you tell the difference between cardiogenic shock and hypovolemic shock

Answer 4

CVP, and PCWP is increased in cardiogenic

in hypovolemic shock CVP and PCWP is decreased because less blood coming into the right side of the heart

Question 5

etiology of cardiogenic shock

Answer 5

MI, HF, arrhytmias, trauma, iatrogenic (B blockers too many)

Question 6

obstructive shock etiology

Answer 6

PE, cardiac tamponade, aortic dissection

Question 7

what are the three different forms of distributive shock

Answer 7

septic
anaphylactic
neurogenic

Question 8

warm dry skin–>cold clammy skin, mixed venous O2 saturation; what kind of shock?

Answer 8

septic shock

Question 9

neurogenic shock etiology

Answer 9

autonomic dysregulation

Question 10

presentation of neurogenic shock

Answer 10

hypotension in the setting of bradycardia (no compensation) because their nervous system is not working.

situations: overdose of CCB, B blocker

Question 11

low TPR - what type of shock

Answer 11

distributive