shock, sepsis + MODS - prepU Flashcards

1
Q

what is the primary or most common cause of cardiogenic shock?

A

an MI

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2
Q

what will the heart rate/ pulse look like in the varying stages of septic shock?

A

initial - rapid and bounding
later stages - slow and imperceptible + irregular

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3
Q

what is a normal ScvO2 value?

A

70%

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4
Q

what are the first signs of organ failure?

A

myocardial depression - due to the body not being able to meet oxygenation needs (even when the underlying cause isn’t cardiac related)

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5
Q

Which is the crystalloid fluid that helps treat acidosis?

A

Lactated Ringer’s

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6
Q

Signs/ Manifestations of neurogenic shock are showing PARAsympathetic stimulation!!!
what are those S/S? (3)

A

-dry, warm skin
-hypotension
-bradycardia

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7
Q

DIC (Disseminated Intravascular Coagulation) can cause shock or be a complication of shock. Bleeding and clotting is occurring simultaneously - what are the S/S?

A

-Ecchymosis (bruising)
-Petechiae (bleeding)
-PT and aPTT are prolonged

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8
Q

what clinical manifestations would you see in a patient that’s currently in compensatory shock who’s lungs are now decompensated?

A

-HR >100
-crackles lung sounds
-lethargy/ mental confusion
-RR >20 + rapid and shallow
-respiratory ALKALOSIS

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