shock/sepsis

Question 1

Beck’s triad

Answer 1

cardiac tamponade

hypotension
neck vein distention
muffled heart sounds

Question 2

sepsis definition

Answer 2

SIRS with proven or suspected infectious etiology

AND

1+ signs of organ dysfunction

Question 3

septic shock definition

Answer 3

hypotension despite adequate fluid resuscitation

OR

serum lactate >2 despite fluid resuscitation

Question 4

recommended tool for sepsis screening

Answer 4

MEWS, NEWS

Question 5

hypovolemic shock hemodynamics (CVP, CO, SVR, SVO2, lactate)

Answer 5

CVP - low
CO - low
SVR - high
SVO2 - low
lactate - high

Question 6

cardiogenic shock hemodynamics (CVP, CO, SVR, SVO2, lactate)

Answer 6

CVP - high
CO - low
SVR - high
SVO2 - low
lactate -high

Question 7

obstructive shock hemodynamics (CVP, CO, SVR, SVO2, lactate)

Answer 7

CVP - high
CO - low
SVR - high
SVO2 - low
lactate - high

Question 8

distributive shock hemodynamics (CVP, CO, SVR, SVO2, lactate)

Answer 8

CVP - low
CO - mixed
SVR - low
SVO2 - mixed
lactate - high