Shock Flashcards
0
Q
Progressive stage shock
A
Vasodilation due to lactic acidosis
Decrease in co & bp
Hypotension
1
Q
Compensatory stage shock
A
- in co
Symp nerve system adrenalin
+ co bp adh
Vasoconstriction
2
Q
Clinical signs compensatory stage
A
Anxious
Tachycardia
Cool pale
-uop
3
Q
Progressive stage s&s
A
Obtunded&stuporous
Hypotension
- cup pcwp co.
+ Svr
4
Q
Carcinogenic shock s&s
A
Confused restless Rapid resp. Rales Rapid thready pulse Neck vein distention Narrow pulse pressure S3 s4 Hypotension Oliguria - co \+ cvp. Svr pawp
5
Q
Treatment cardiogenic shock
A
Decreased afterload
- myocardial o2 demand
+ coronary perfusion
+ coronary output
6
Q
Purpose iabp
A
- afterload
- myocard o2 demand
+ coronary perfusion
+ cardiac output
7
Q
Iabp contraindications
A
Aortic insufficiency
Peripheral vascular dx
8
Q
Iabp interventions
A
Bed <15
Assess pulses
Monitor bleeding
9
Q
Septic shock warm stage
A
Confusion \+ co \+ rr Looking good Best abg Good bp \+uop 30 minutes to 72 hrs
10
Q
Septic shock cold stage
A
Stuporous & obtunded - co - uop Poor abg Met acidosis Hypotension
11
Q
Shock pre load. Afterload. Co
A
+ + -
12
Q
Hypovolemic shock preload. Afterload. Co
A
- -
13
Q
Septic (warm) preload. After load. Co.
A
- +
14
Q
Septic (cold) preload afterload co
A
- -
