Week 2 Flashcards

1
Q

What are the 4 different types of shock

A

Cardiogenic
Diatributive
Obstructive
Hypovolemic

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2
Q

What is cardiogenic shock?

A

The heart cannot pump enough

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3
Q

What is obstructive shock?

A

Obstruction in the circulatory system

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4
Q

What is distributive shock?

A

Cannot distribute anything throughout the body

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5
Q

What is hypovolemic shock?

A

Low volume

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6
Q

What is the most common type of shock?

A

Hypovolemic

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7
Q

What are some common causes of hypovolemia?

A

Trauma, excessive urination, diarrhea, and vomiting.

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8
Q

What are the signs of stage 1 compensated shock?

A

Tachycardia, light pulse, CRT greater than 2 seconds, and pale mucous membranes

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9
Q

What are the signs of stage 2 decompensated shock?

A

Tachycardia, muddy mucous membrane color, hypotension, and depressed mental status.

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10
Q

What should you assess for level of consciousness?

A

alertness, depression, stupor, and coma

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11
Q

What should you assess for pulse quality?

A

Heart rate, rhythm, strength, and quality.

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12
Q

What should you assess for respiration shock?

A

Rate, depth, effort, and breath sounds.

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13
Q

What should you assess for blood pressure during shock?

A

High or low numbers

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14
Q

What is fluid therapy used for?

A

dehydration, hypovolemia, electrolytes and nutrient replacement

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15
Q

What are 3 types of hypotonic fluids?

A

NaCl 0.45%, Dextrose 2.5%, and Dextrose 5%

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16
Q

What are isotonic solutions commonly used for?

A

Dehydration

17
Q

What percent of crystalloid fluids remain in the intravascular space of the extracellular fluid compartment after 1 hour?

A

25%

18
Q

Why are isotonic fluids not used for maintenance?

A

High sodium chloride content, osmolality, and inadequate potassium

19
Q

What patients should LRS be avoided in?

A

Alkalosis,hyperkalemia, and liver disease.

20
Q

What do Hypertomic fluids do?

A

Draws fluid into the vascular compartment

21
Q

What are colloids?

A

High molecular weight substances that do not pass readily across capillary membranes

22
Q

What do colloids do to oncotic pressure?

A

Causes it to increase

23
Q

What are dextrans?

A

High molecular weight polysaccharides

24
Q

What are the signs of phlebitis?

A

Redness, swelling, and inflammation