shock

Question 1

slight increases in HR, RR, BP could indicate?

Answer 1

shock

Question 2

what happens to blood sugar in shock?

Answer 2

elevated

Question 3

Preventing _______ in older adults helps prevent shock

Answer 3

dehydration

Question 4

Normal Lactate Level?

Answer 4

0.5-1 mmOl

Question 5

Type of shock?

too little blood volume decreases MAP
Main Causes: hemorrhage and dehydration

Answer 5

hypovolemic

Question 6

Type of shock?

Direct pump failure (fluid volume not affected)

Answer 6

cardiogenic

Question 7

Type of shock?

MI, Cardiac arrest, Cardiomyopathies, myocardial degeneration

Answer 7

cardiogenic

Question 8

Type of shock?

the actual volume of blood isn’t lost but where the blood is going is. Total body fluid vol is normal or increases

Answer 8

distributive

Question 9

Type of shock ?

Neural Induced - pain, anesthesia, stress, spinal cord injury, head trauma

Answer 9

distributive

Question 10

Type of shock?

Chemical induced -
anaphylaxis, sepsis, capillary leak (burns, trauma, liver impairment, hypoproteinemia)

Answer 10

distributive

Question 11

Type of shock?

INDIRECT pump failure - total body fluid not affected but CENTRAL Volume is decreased

Answer 11

obstructive

Question 12

type of shock?

Cardiac tamponade, arterial stenosis, pulmonary embolism, thoracic tumors, tension pneumo

Answer 12

obstructive

Question 13

Progressive stage of shock = life-threatening. The body can only tolerate it for a little while before MODS.

Answer 13

obstructive

Question 14

type of shock?

falling systolic, rising diastolic, narrowing pulse pressure

Answer 14

obstructive

Question 15

how long do you have with life threatening obstructive shock?

Answer 15

The patient’s life can be saved if the cause is corrected within 1 hour or less.

Question 16

things that cause obstructive shock?

Answer 16

Cardiac tamponade, arterial stenosis, pulmonary embolism, thoracic tumors, tension pneumo

Question 17

Can an AP assess shock?

Answer 17

no, Only RN’s can assess and get vitals on pt with suspected shock

Question 18

Changes in systolic ____are not always present in the ______stage of shock so use changes in _______ and _______as main indicator of shock presence.

Answer 18

BP , initial stage, pulse rate and quality

Question 19

Too little blood volume decreases MAP

Main Causes: hemorrhage and dehydration

Answer 19

Hypovolemic shock

Question 20

what type of fluid to treat shock?

Answer 20

Isotonic crystalloids or colloids (including blood products)

0.9 sodium chloride or lactated ringer’s

Question 21

what is SIRS?

Answer 21

systemic inflammatory response syndrome = generalized systemic infection in organs remote from the initial injury.

Question 22

what commonly causes SIRS?

Answer 22

infection AKA sepsis

Question 23

non infectious sources of SIRS?

Answer 23

thromboembolism, autoimmune and pancreatitis

Question 24

most important vitals nd labs for SIRS

Answer 24

1. Temp >38 c or <36 (even numbers)
2. HR > 90
3. RR > 20 or PaCO2 < 32
4. WBC > 12000 or <4000
   Or >10% immature bands

Question 25

SVO2 > 70%
Cl > 3.5 L/m
Serum lactate > 1 mmol / L

may be indicative of?

Answer 25

sepsis

Question 26

What do you have to do within 3 hours of suspecting severe sepsis?

Answer 26

Draw lactate levels
Give Antibiotics
Obtain blood cultures

Question 27

signs of poor perfusion

Answer 27

Lactic acidosis
Oliguria
Mental status alteration

Question 28

abnormal clumps of thickened blood (clots) form inside blood vessels. These abnormal clots use up the blood’s clotting factors, which can lead to massive bleeding in other place

Answer 28

DIC- complication of shock