Shocks

Question 1

Shock?

Answer 1

Inadequate perfusion

Question 2

Septic shock can do what?

Answer 2

releases massive histamine release, lowering BP

Question 3

Compensated shock?

Answer 3

Increased Alpha 1, Beta 1

Increased depth and rate or respiration

Tachycardia, tachypnea, pale, cool, moist, normotension

Question 4

Relative hypovolemia? (4 shocks)

Answer 4

Container problem (Vasodilation)

Question 5

Absolute hypovolemia

Answer 5

Volume problem (hemorrhage. metabolic)

Question 6

Cardiogenic and obstructive shock?

Answer 6

Pump problem

Question 7

Stage 1 of hypovolemic shock?

Answer 7

Mild
< 15% blood loss
Minimal vital changes and blood loss

Question 8

Stage 2 of hypovolemic shock?

Answer 8

Moderate
20-25% blood loss
Pulse and resp increased
Thirst and pallor present

Question 9

Stage 3 of hypovolemic shock?

Answer 9

Severe
30-35% blood loss
Mechanism failing
(All signs of shock possible)

Question 10

Stage 4 of hypovolemic shock?

Answer 10

Catastrophic
> 40% blood loss
No palpable pulses

Question 11

Chemoreceptors?

Answer 11

Senses changes in chemical levels

Ex: CO2, O2, glucose and acid & base balance

Question 12

Baroreceptors?

Answer 12

Sense decrease in BP

Question 13

Where are Baroreceptors located?

Answer 13

Carotid and aortic arch

Question 14

Hypovolemic shock S&S (Compensated)

Answer 14

Tachycardia

Normotension

Question 15

Cardiogenic shock S&S? (Compensated)

Answer 15

Irregular pulses

Question 16

Cardiogenic shock S&S? (Decompensated)

Answer 16

Bradypnea

Apnea

Question 17

Pediatric patients can become shocky with how much fluid loss?

Answer 17

> 100mL of blood or fluid loss