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COMLEX 2 > Shock Effect on Circulatory System > Flashcards

Shock Effect on Circulatory System Flashcards

1
Q

hypovolemic shock

A

intravascular volume loss
hemorrhagic
fluid loss

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2
Q

hypovolemic shock on preload

A

decreased PCWP/JVP

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3
Q

Pre-Load

A

PCWP (pulmonary capillary wedge pressure)

JVP (jugular venous pressure)

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4
Q

Pump function

A

CO

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5
Q

After-Load

A

SVR

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6
Q

Perfusion

A

O2 sat

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7
Q

hypovolemic shock on pump function

A

decreased CO

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8
Q

hypovolemic shock on afterload

A

increased SVR

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9
Q

hypovolemic shock on perfusion

A

decreased O2 sat

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10
Q

hypovolemic shock tx

A

fluids

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11
Q

hypovolemic shock overview

A

decreased PCWP
decreased CO
increased SVR
decreased O2 sat

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12
Q

cardiogenic shock

A

arrhythmia
AMI, valve failure
cardiomyopathy
pericarditis/PE

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13
Q

cardiogenic shock on pre-load

A

increased PCWP/JVP

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14
Q

cardiogenic shock on pump function

A

decreased CO

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15
Q

cardiogenic shock on afterload

A

increased SVR

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16
Q

cardiogenic shock on perfusion

A

decreased O2 sat

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17
Q

cardiogenic shock overview

A

increased PCWP
decreased CO
increased SVR
decreased O2 sat

18
Q

cardiogenic shock tx

A

dobutamine

19
Q

distributive shock

A

vasodilatory - dramatic decrease SVR

  • septic shock/SIRS/TSS
  • anaphylaxis
  • drug/toxin
  • addisonian crisis
20
Q

distributive shock on pre-load

A

decreased PCWP/JVP

21
Q

distributive shock on pump function

A

increased CO

22
Q

distributive shock on afterload

A

decreased SVR

23
Q

distributive shock on perfusion

A

increased O2 sat

24
Q

distributive shock tx

A

NE, epi, phenylephrine, DA

25
Q

obstructive shock

A

tension pneumothorax
tamponade
PE

26
Q

obstructive shock on pre-load

A

increase PCWP/JVP

27
Q

obstructive shock on pump function

A

decreased CO

28
Q

obstructive shock on afterload

A

increase SVR

29
Q

obstructive shock on perfusion

A

decrease O2 sat

30
Q

obstructive shock tx

A

thoracostomy, pericardiocentesis

31
Q

neurogenic shock on pre-load

A

PCWP decrease

32
Q

neurogenic shock on pump function

A

CO decrease

33
Q

neurogenic shock on afterload

A

decrease SVR

34
Q

neurogenic shock on O2 sat

A

decrease

35
Q

anaphylactic shock on preload

A

decrease PCWP

36
Q

anaphylactic shock on pump function

A

decrease CO

37
Q

anaphylactic shock on afterload

A

decrease SVR

38
Q

anaphylactic shock on O2 sat

A

decrease

39
Q

septic shock on preload

A

decrease PCWP

40
Q

septic shock on pump function

A

increase CO

41
Q

septic shock on afterload

A

decrease SVR

42
Q

septic shock on O2 sat

A

increase

COMLEX 2 (37 decks)

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