Surgery

Question 1

SIRS criteria (4) 2 or more =SIRS

Answer 1

Body temp <36 or >38C
HR>90
Tachypnea RR>20 or PCO2<32
WBC <4000 or >12,000

Question 2

Signs and symptoms of shock

Answer 2

Decreased BP
Increased HR
AMS, confusion
Decreased urine output, increased BUN/Cr ratio
Elevated AST/ALT
Chest pain/ SOB

Question 3

Hypovolemic shock Lab findings (SVR, CVP, PCWP, CO)

Answer 3

SVR increased
CVP decreased
PCWP decreased
CO decreased

Question 4

Cardiogenic shock lab findings (CO, SVR, CVP, PCWP)

Answer 4

CO decreased
SVR increased
CVP increased
PCWP increased

Question 5

Neurogenic shock lab findings (SVR, CVP, PCWP, CO)

Answer 5

SVR decreased
CVP decreased
PCWP decreased
CO decreased

Question 6

Septic shock lab findings (SVR, CVP, CO, PCWP)

Answer 6

SVR decreased
CVP decreased
CO increased
PCWP same

Question 7

Anaphylactic shock lab findings (CVP, SVR, PCWP,CO)

Answer 7

CVP decreased
SVR decreased
PCWP decreased
CO increased