Shock Flashcards
1
Q
Stage 1. Initiation
A
No observable clinical indications
2
Q
Stage 2. Compensatory
A
^ HR Narrowed pulse pressure Rapid deep respiration's causing alkalosis Thirst, cool moist skin diminished bowel sounds, RAAS Hyperglycemia Restless progressing to confusion
3
Q
Stage 3. Progressive
A
Dysrhythmias Deceased BP Tachypnea Absent bowel sounds lethargy progressing to coma Hyperglycemia ^ BUN, creatinine, potassium Respiratory and metabolic acidosis
4
Q
Stage 4. Refractory
A
MODS, SIRS Life threatening dysrhythmias ACIDOSIS ARDS DIC Kidney failure MI
5
Q
SIRS
A
Release of mediators
causes Hypovolemia
6
Q
Hypovolemic Shock LABS
A
^ HR Normal to low Low CO Low CI Low RAP Low PAWP
7
Q
Cardiogenic Shock LABS
A
^HR Low CO Low CI ^ RAP ^PAWP
8
Q
Obstructive Shock LABS
A
^ HR
Low CO
Low CI
9
Q
Septic Shock LABS
A
^ HR
High then low CO
High then low CI
10
Q
Hypovolemic Shock Causes
A
External loss of blood Diarrhea Burns Hemothorax ascites
11
Q
Hypovolemic Shock Clinical presentation
A
^ HR ↓ BP Tachypnea Flat neck veins Cool pale, skin ↓ CO, CI, RAP, PAP, PAWP ^SVR ↓ HCT
12
Q
Hypovolemic Shock management
A
Eliminate and treat cause
Replace lost volume with fluid
13
Q
Cardiogenic Shock causes
A
MI
HF
Dyshrythmias
14
Q
Cardiogenic Shock Clinical presentation
A
^ HR Dysrthymias ↓ BP Chest pain ↓ CO, CI, SVO2 ^RAP,PAP,PAWP,SVR
15
Q
Cardiogenic Shock managment
A
Improve CONTRACTILITY with inotropic meds
Mechanically ventilate
Emergency Revascularization
