Shock

Question 1

What is the transition between homeostasis and death?

Answer 1

Shock

Question 2

What occurs in the vascular phase of clotting?

Answer 2

Vasoconstriction

Question 3

What occurs in the platelet phase in the clotting process?

Answer 3

Tunica intima is damaged

Question 4

What occurs in the coagulation phase of clotting?

Answer 4

Release of enzymes

Question 5

What is normal blood clotting time?

Answer 5

7-10 minutes

Question 6

A lateral cut permits a vessel to?

Answer 6

Retract and thinker its wall

Question 7

A longitudinal cut to a vessel causes the vessel to?

Answer 7

Open and bleed

Question 8

What are some factors affecting clotting?

Answer 8

Movement of wound site, aggressive fluid therapy, low body temperature, medication

Question 9

What is shock?

Answer 9

Inadequate tissue perfusion

Question 10

What is the first step to controlling bleeding?

Answer 10

Direct pressure

Question 11

What is a hematoma?

Answer 11

Pocket of blood between muscle and fascia

Question 12

The pelvic cavity can bleed up to?

Answer 12

3000cc

Question 13

Femur fractures may bleed up to?

Answer 13

1500cc

Question 14

Unexplained shock is best attributed to?

Answer 14

Abdominal trauma

Question 15

What is chronic hemorrhage?

Answer 15

Internal anemia

Question 16

Nose bleeding should not be stopped only if?

Answer 16

There is suspicion of a basal skull fracture

Question 17

What is hemoptysis?

Answer 17

Coughing up blood

Question 18

What is the initial stage of shock in which the body progressively compensates for continuing blood loss?

Answer 18

Compensated shock

Question 19

Which stage of shock begins when the body compensatory mechanisms can no longer maintain preload?

Answer 19

Decompensated shock

Question 20

In which stage of shock does pulse rate increase?

Answer 20

Compensated

Question 21

In which stage of shock does the patient experience thirst, weakness, and eventual air hunger?

Answer 21

Compensated shock

Question 22

In which stage of shock do respirations slow or cease?

Answer 22

Decompensated shock

Question 23

In which stage of shock does the patients skin become cool and clammy?

Answer 23

Compensated shock

Question 24

In which stage of shock does the patient become lethargic?

Answer 24

Decompensated shock

Question 25

What are two examples of distributive shock?

Answer 25

Anaphylactic and septic

Question 26

Which shock affects the containers?

Answer 26

Distributive shock

Question 27

What are the three types of obstructive shock?

Answer 27

Tension pneumothorax, cardiac tamponade, pulmonary emboli

Question 28

Which type of shock occurs with interference with the blood flowing through the cardiovascular system?

Answer 28

Obstructive

Question 29

Which type of shock occurs with prevention of appropriate distribution of nutrients and removal of wastes?

Answer 29

Distributive shock

Question 30

What are two examples of respiratory shock?

Answer 30

Airway obstruction and pneumothorax

Question 31

Which type of shock affects the pump?

Answer 31

Carcinogenic shock

Question 32

How is cardiogenic shock diagnosed?

Answer 32

If all other forms of shock are ruled out

Question 33

What is first treatment for cardiogenic shock?

Answer 33

250 bolus normal saline

Question 34

Low heart rate is often seen in which type of shock?

Answer 34

Neurogenic shock

Question 35

What is the treatment plan for shock?

Answer 35

Airway, hemorrhage control, TEMPERATURE CONTROL, fluid resuscitation

Question 36

How should cardiogenic shock be pharmacologically treated?

Answer 36

Fluid challenge, vasopressors (dopamine), and cardiac drugs (Epi and atropine)

Question 37

How should spinal and obstructive shock be pharmacologically treated?

Answer 37

IV (NS & LR)

Question 38

How should distributive shock be pharmacologically treated?

Answer 38

IV and dopamine