Trauma Lecture 4 Flashcards

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1
Q

perfusion

A

delivery of oxygen, removal of carbon dioxide
* properly beating heart
* adequate transport medium (blood and hemoglobin)
* an intact functioning vessel system

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2
Q

hypoperfusion

A

widespread inadequate tissue perfusion

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3
Q

hypovolemic shock

A
  • inadequate amount of fluid or volume
  • hemorrhagic and nonhemorrhagic
  • bleeding, burns, dehydration
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4
Q

distributive shock

A
  • widespread dilation of blood vessels
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5
Q

types of distributive shock

A
  • septic
  • neurogenic
  • anaphylactic
  • psychogenic
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6
Q

septic shock

A
  • severe infection
  • toxins destroy the vessel wall
  • capillary permeability
  • reduced intravascular fluid
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7
Q

neurogenic shock

A
  • loss of control of the muscular tone of the blood vessels
  • high spinal cord injury
  • perfusion to organs decreases
  • normal or slow heart rate
  • warm skin
  • lack of sweating below the injury
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8
Q

anaphylactic shock

A
  • widespread vascular dilation
  • increased vascular permeability
  • bronchoconstriction
  • stridor
  • urticaria, edema, itching
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9
Q

psychogenic shock

A
  • temporary vasodilation
  • syncope
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10
Q

cardiogenic shock

A
  • heart failure (pump problem)
  • no longer maintain sufficient output
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11
Q

obstructive shock

A
  • cardiac tamponade
  • pulmonary embolism
  • tension pneumothorax
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12
Q

stages of shock

A
  • compensated
  • decompensated
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13
Q

compensated shock

A

body is able to compensate and maintain tissue perfusion

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14
Q

decompensated shock

A

body begins to lose its ability to compensate inadequate perfusion begins

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15
Q

symptoms of compensated shock

A
  • anxious
  • cool, pale, moist skin
  • normotensive
  • normal to slighty elevated pulse
  • normal to slightly elevated respirations
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16
Q

symptoms of decompensated shock

A
  • lethargic, combative, altered, unconcious
  • cool, pale, diaphoretic skin
  • blood pressure begins to drop
  • weak, rapid pulse
  • rapid, shallow breathing
17
Q

mean arterial pressure (M.A.P)

A
  • average pressure during cardiac cycle
  • true perfusion
18
Q

normal M.A.P

A

70 - 100 mmHg

19
Q

M.A.P indicating organ death

A

less than 60 mmHg

20
Q

shock management

A
  1. position (supine)
  2. oxygen
  3. warm
  4. rapid transport