Shock and BLS Resuscitation Flashcards

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1
Q

what is shock or hypoperfusion?

A

Insufficient supply of oxygen and other nutrients to body cells resulting from inadequate circulation of blood

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2
Q

what is hypovolemic shock?

A

shock caused by the loss of blood or fluid from the intravascular space resulting in a low blood volume

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3
Q

what is distributive shock?

A

shock associated with a decrease in intravascular volume cause by massive systemic vasodilation and an increase in the capillary permeability

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4
Q

what is cardiogenic shock?

A

poor perfusion resulting from ineffective pump function of the heart

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5
Q

what is obstruction shock?

A

a poor perfusion state resulting from a condition that obstructs forward blood flow

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6
Q

What is hemorrhagic (hypovolemic) shock?

A

shock from the loss of whole blood from the intravascular space

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7
Q

what are the 5 functions of blood?

A
  • transportation of gases (O2 and CO2)
  • nutrition
  • excretion
  • protection
  • regulation
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8
Q

perfusion

A

the supply of oxygen to and removal of wastes from the cells and tissues of the body as a result of the flow of blood through the capillaries

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9
Q

hypoperfusion

A

inability of the body to adequately circulate blood to the body’s cells to supply them with oxygen and nutrients. Also known as shock. A life threatening condition.

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10
Q

shock

A

inability of the body to adequately circulate blood to the body’s cells to supply them with oxygen and nutrients. Also known as hypoperfusion. A life-threatening condtion.

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11
Q

What are the steps to treat shock?

A
  • maintain airway
  • intimate oxygen therapy
  • control external bleeding
  • if local protocols call for it, contact medical direction and apply a pneumatic antishock garment (PASG)
  • if no possibility of spinal injury, elevate legs 8-12 in.
  • prevent loss of body heat by covering patient with blankets
  • transport immediately
  • consider meeting with ALS en route
  • reassure patient
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12
Q

What are the 3 stages of shock?

A
  • compensated shock
  • decompensated shock
  • irreversible shock
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13
Q

List some important indicators of internal bleeding

A
  • injuries to the surface of the body
  • bruising, swelling
  • pain over vital organs
  • painful, swollen, or deformed extremities
  • bleeding from mouth, rectum, vagina, or any other orifice
  • tender, rigid, or distended abdomen
  • vomiting a coffee-ground-like substance or bright red vomitus
  • dark, tarry stools or bright red color in stool
  • signs and symptoms of shock
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14
Q

compensated shock

A

when the patient is developing shock but the body is still able to maintain perfusion

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15
Q

decompensated shock

A

the second stage of shock, which begins at the point when the body can no longer compensate for the low blood volume or lack of perfusion. Late signs as falling blood pressure develop.

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16
Q

irreversible shock

A

when the body has lost the battle to maintain perfusion and irreparable organ and cell damage will inevitably cause death

17
Q

The physiology of perfusion is dependent on what 3 components of the circulatory system?

A
  • pump (heart)
  • fluid (blood)
  • container (vasculature)
18
Q

What controls vegetative functions?

A

Parasympathetic nervous system

19
Q

what is the chief neurotransmitter of the sympathetic nervous system?

A

norepinephrine

20
Q

List the causes of inadequate perfusion

A

-inadequate pump
-inadequate preload
-poor contractility
-excessive afterload
-inadequate heart rate
-inadequate fluid volume
-hypovolemia
-inadequate container
-excessive dilation
inadequate systemic vascular resistance

21
Q

High-quality cardiopulmonary resuscitation (CPR) is being performed when the chest compressions are at the correct depth and the rate of chest compressions is at least

A

100-120 per minute

22
Q

the chest compression depth for an adult patient is at least

A

2 in