Shock

Question 1

Grey Turner\s sign and Cullen\s sign is typically seen in what type of shock

Answer 1

Hypovolemic shock due to an abdominal injury , kidneys can be damaged (Grey Turner) or any other organs in the abdominal region

Question 2

Acute MI, CHF and cardiac dysrhythmias can lead to which type of shock?

Answer 2

Cardiogenic shock

Question 3

Tampnade, PE and Pneumothorax can lead to which shock?

Answer 3

Obstructive

Question 4

Anaphylactic shock what happens to your BP and airway?

Answer 4

BP drops and airway narrows. The histamines will irritate the bronchioles causing bronchospasm and will stimulate vasodilation, causing increase in permeability and a subsequent drop in blood pressure over time
Main concern is the airway as with permeability, we are concerned of swelling of the airway and tongue

Question 5

Neurogenic shock is a sub type of another shock which is?

Answer 5

Distributive shock, innervations of nerves is lost and vasodilation happens and your blood begins to pool, arteries and veins fail to contract dropping your BP and leading into shock.

Question 6

1. With spinal injury below C-_, diaphragmatic breathing occurs with no control over intercostals
2. With spinal injury above C-_, respiratory arrest is immediate due to loss of nervous control in diaphragm

Answer 6

1. 5

2. 3

Question 7

Pneumonia and UTI can lead to what type of shock?

Answer 7

Septic shock, With fever present, body has increased demand for Oxygen and will have more cellular metabolism leading to increase of CO2 build up in the body
** End-Tidal is a great indicator and tool for this patient if available**

Question 8

Septic shock

1. Presence of TWO or more of following:
   Temp __C
   Pulse >__ bpm (tachycardic)
   RR >__ (tachypneic)
2. Plus at least ONE of the following:
   Signs of hypoperfusion
   Systolic BP

Answer 8

1. Temp <36C or >38C
   Pulse >90 bpm (tachycardic)
   RR >20 (tachypneic)
2. Signs of hypoperfusion
   Systolic BP <90mmHg (hypotensive)
   New Altered LOA