Shocked Patient

Question 1

What is shock?

Answer 1

An acute circulatory failure resulting in inadequate tissue perfusion and energy production
As shock develops patients deteriate rapidly
Early recognition and treatment is important

Question 2

How is shock treated?

Answer 2

Identify and rectify cause
Establish adaquete ventitlation and oxygenation
Restore optimum intravascular volume
Maintain adequate cardiac output and reanl perfusion
Maintain optimum internal metabolic enviroment

Question 3

What does normal tissue perfusion rely on?

Answer 3

Cardiac output
Circulatory volume
Peripheral vascular resistance

Question 4

What are the types of shock?

Answer 4

Hypovolaemic
Endotoxic/septic
Cardiogenic
Neurogenic

Question 5

What are clinical signs of shock?

Answer 5

Tachycardia 
Hypotenison 
RAchypnoea 
Prolonged CRT
Pale mms
Hypothermia 
WEakness/depression 
Reduced urine output 
LAter can cause dilated pupils and coma

Question 6

How is shock managed?

Answer 6

Identidy and rectify cause
Establish adequate ventilation and oxygenation
REstore optimum intravacular volume
Maintain adequate cardiac output and renal perfusion
Maintain optimum internal metabolic environment

Question 7

How is shock treated?

Answer 7

Oxygenate
Control haemorrhage 
IVFT, increase circulatory volume 
Bicarbonate to address metabolic acidosis
Antibiotics 
Maintain body temperature