Shock Flashcards
1
Q
Shock definition
A
Hypoperfusion despite fluid resus
2
Q
Hypotension definition
A
SBP < 90
MAP < 65
Vasoconstrictor use to maintain BP above these figures
Reduction in SBP > 40 from baseline
3
Q
Mx of shock
A
O2
Fluids
Vasoconstrictors
4
Q
qSOFA
A
Reduced GCS
RR > 22
BP < 100
5
Q
SIRS criteria
A
3 ts and a white sugar HR>90 T <36 or >38°C RR >20 or ABG PaCO2 <4.3 kPa WCC <4 or >12 Sugar >7.7
6
Q
Sepsis spectrum
A
SIRS -> Sepsis -> Septic shock
7
Q
GCS
A
E4V5M6
8
Q
E- GCS
A
1 closed eyes
2 opens to pain
3 opens to voice
4 open
9
Q
V GCS
A
1 no response 2 incomprehensible sounds 3 inappropriate words 4 confused 5 oriented
10
Q
M GCS
A
1 no movement 2 extension decerebrate 3 flexion decorticate 4 withdraws from pain 5 localises pain 6 obeys commands
11
Q
Primary haemorrhage
A
Bleed during op
12
Q
Reactionary haemorrhage
A
Bleed within 48 hrs post op
13
Q
Secondary haemorrhage
A
Bleed after 48hrs post op
up to 10-12 days
