Shock, Sepsis, and Multiple Organ Dysfunction Syndrome Flashcards
3 types of distributive shock
septic
anaphylactic
neurogenic
refractory phase of shock
unresponsive to therapy and irrevresible
causes of hypovolemic shock
bleeding
dehydration
burns
N/V
diarrhea
causes of cardiogenic
MI
tamponade
drugs
cardiac
surgery
obstructive shock cause
PE
tamponade
congentical
penuo
MAP less than
60
hypovolemia preload
decreased
if preload is decreased in hypovolemia what happens to tissue perfusion
decreases
hypovolemic shock nursing management
intake and output
weights
cariogenic causes
failure of heart to pump effectively
cardio what happens to SV and CO and this leads to
decrease SV and CO and this leads to impaired tissue perfusion
cardio s/s
- resp
resp alk (imprve oxygen
cardio
- heart
tachy
cardio
- left ventricle failing
pulmonary edema
- crackles
- rhonci
- CVP/PCWP >15
cardio
- severe symptoms
met acid
renal failure
cerebral hypo perfusion
obstruction causes*****
cardiac tamponade
massive PE
tension pneumo
s/s tamponade
muffled heart sounds
JVD
paradoxical pulse (decrease in BP with inhalation)
s/s PE
right ventricular failure
s/s tension
decrease or absent breath sounds on affected side
hypertesonant
tracheal deviation to unaffected side
anaphylactic vessel
dilation
anaphylactic s/s
vasodilation
increased capillary membrane permeability
decrease venous return
anaphylactic CO
decreased
treatment of anaphylactic
epi
neurogenic s/s
profound hypotension (vasopressor)
BRADYCARDIA
poikilothermic (no sweating, inability to control temp)
difference between sepsis and shock
organ involved = shock
sepsis/shock s/s
hypotension
hypoxemia
change in LOC
met acid (increase lactic)
increase temp
decrease urine output
Q sofa
altered mental status
fast rr
low bp
what should we do before antibiotics
culture
primary MODS
well defined insulin
secondary MODS
widespread sustained systemic inflammation
DIC will they bleed
yes
DIC increased labs
PT
PTT
fibrinogen split products
DIC decreased labs
platelets
fibrinogen
cause of DIC
massive transfussion
hypothermia
trauma
DIC treatment
platelet
FFP
heparin
SIRS what is it
produce similar response to sepsis without an organism
SIRS criteria
fever/hypotehrm
achy and hypo
tachypnea
elevate or decreased WBC
