Shock, Trauma, Burns

Question 1

signs and symptoms of hypovolemic shock

Answer 1

• altered LOC
• cool clammy skin
• tachycardia
• orthostatic hypotension

Question 2

symptoms of cariogenic shock

Answer 2

• decrease BP
• dyspnea/SOB
• weakness/fatigue
• cyanosis
• crackles
• increased HR; weak + thready
• chest pain
• U/O <30ml/hr

Question 3

septic shock signs and symptoms

Answer 3

• increased vasodilation
• increased vascular permeability
• increased microvascular clotting
• clotting factors used up

Question 4

anaphylactic shock signs and symptoms

Answer 4

• massive vasodilation
• increased capillary permeability
• edema
• pruritis/rash/angioedema
• cough/dyspnea/wheezing/decreased sats

Question 5

neurogenic shock signs and symptoms

Answer 5

• massive vasodilation
• decreased BP and HR
• increase or decrease temp no internal regulator
• flushed/warm skin initially
• paralysis below injury

Question 6

shock compensatory stages

Answer 6

• compensatory
• progressive
• refractory

Question 7

compensatory shock response 11 (TEXTBOOK???)

Answer 7

• BP adequate for vital organs ~90, narrow PP
• HR >100
• cool, pale, moist skin
• rapid, weak, thready peripheral pulse
• Na and H2O retention
• follow commands
• decreased U/O <30ml/hr
• increased RR change in depth
• decreased GI motility
• dilated pupils
• increased BG

Question 8

progressive shock response 12 (TEXTBOOK???)

Answer 8

• BP inadequate for vital organs, narrow PP
• HR >150
• cyanotic, mottled, cold skin
• weak, absent, thready peripheral pulse
• U/O <20ml/hr
• agitated, responds to pain
• increased RR, change in depth, decreased sats, increased CO2, decreased pH
• BS absent
• dilated, sluggish, fixed pupils
• jaundice
• dysrhythmias/MI
• increased bleeding/thrombocytopenia

Question 9

refractory shock response

Answer 9

• profound hypotension
• MODS
• unresponsive
• ARDS
• DIC
• irreversible damage

Question 10

DIC symptoms

Answer 10

• bleeding
• petechia
• brusing
• hypotension

Question 11

DIC tx

Answer 11

• heparin drip
• prevents further usage of clotting factors

Question 12

Parkland formula

Answer 12

• 40cc of RL per TBSA x kg = fluid in 24hr
  40cc x 20kg x 40% = 3200cc
• 1/2 in first 8hrs
• 1/4 in second 8hrs
• 1/4 in third 8 hrs