Shock

Question 1

Glucose in early stage

Answer 1

Increased

Question 2

Which labs are increased

Answer 2

lactic acid, potassium, BUN/creatinine, Hct/Hgb (if dehydrated or fluid shift)

Question 3

Which labs decrease

Answer 3

PaO2, pH, Hct/Hgb (if hemorrhage)

Question 4

Urine output

Answer 4

Decreased because your body is trying to hold onto fluid. Urine will be very concentrated.

Question 5

Deep tendon reflexes

Answer 5

decreased or absent

Question 6

CVP/PAWP

Answer 6

2-8/6-12

Question 7

When do you start vasoconstictors?

Answer 7

When CVP is at 8-12

Question 8

When do you give vasodilators

Answer 8

Only in cardiogenic shock. Helps decrease afterload/preload

Question 9

drugs for cardiogenic shock

Answer 9

vasodilators, diuretics, beta blockers, inotropes

Question 10

Causes of relative hypovolemic shock

Answer 10

bowel obstruction, burn, ruptured spleen, sepsis, pancreatitis

Question 11

Treatment of hypovolemic shock

Answer 11

no drugs, replace circulating volume

Question 12

Drugs for anaphylactic shock

Answer 12

epi, antihistamines, bronchodilators, fluid resuscitation with colloids

Question 13

s/s of 2nd phase of septic shock (aka hypodynamic)

Answer 13

skin cool, mottled, low temp, low BP

Question 14

Possible causes of obstructive shock

Answer 14

tamponade, tension pnuemo, PE, ect

Question 15

First system to show s/s of SIRS/MODS

Answer 15

Respiratory