Shock 9.14

Question 1

4 types of shock

Answer 1

1. Hypovolaemic (stabbed or diarrhoea)
2. Maldistributive / Vasodilative - anaphylaxis / sepsis
3. Cardiogenic - MI
4. Obstructive - PE, cardiac tamponade

Question 2

4 key diagnostic factors in sepsis

Answer 2

1. Temp above 38 or below 36

2. RR above 20 or PaCO2 12 or below 4

Question 3

The first stage of sepsis - resulting in incr, RR, HR, temp and WBC abnormalities

Answer 3

Systemic inflammatory response syndrome

Question 4

Stage of sepsis - SIRS with red BP or organ dysfunction

Answer 4

Severe Sepsis

Question 5

Stage of sepsis - hypotentsion refractory to fluids

Answer 5

Septic shock

Question 6

What rate of fluids would you administer in shock

Answer 6

20ml per kg = 1.5L for average 70kg male

Question 7

Treatment for anaphylaxis

Answer 7

Adrenaline 500mcg IM, fluids if BP low

Question 8

What serious condition is caused by dilation of pulmonary blood vessels in sepsis leading to leakage of fluid onto lungs

Answer 8

Acute Resp Distress Syndrome - ARDS