Shock

Question 1

What is Shock?

Answer 1

Multisystem end-organ hypoperfusion

Question 2

Clinical indicators of shock…

Answer 2

Reduced MAP
Tachycardia
Tachypnea
Cool skin and extremeties
Altered mental status
Oliguria

Question 3

End result of multiorgan hypoperfusion

Answer 3

Hypoxia with lactic acidosis

Question 4

End result of multiorgan hypoperfusion

Answer 4

Hypoxia with lactic acidosis

Question 5

When shock is considered, what should be assessed first?

Answer 5

Cardiac Output

Question 6

Clinical signs of inc CO?

Answer 6

Widened pulse pressure
Warm extremeties
Bounding pulses

Question 7

Signs of diminished cardiac output

Answer 7

Narrow pulse pressure
Cool extremeties
Delayed cap refill

Question 8

If patient has hypotension with signs of decreased cardiac output, look for history of

Answer 8

Hemorhage
Vomiting
Diarrhea
Polyuria

Question 9

Hypotensive patient with inc intravascular volume and cardiac dysfxn

Answer 9

S3/4 gallop
Incr jvp
Extremity edema
Crackles

Question 10

Hypotensive patient with inc cardiac output

Answer 10

Can be sepsis
Liver failure
Pancreatitis