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Mosby's Paramedic Textbook 3rd edition
Hemorrhage and Shock
28
Medical
Graduate
03/27/2012

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Term
The cessation of bleeding by chemical means is...
Definition
hemostasis
Term
the passage of bright red blood from the stool
Definition
hematochezia
Term
black, tarry stools
Definition
melena
Term
TO achieve adequate oxygenation what three parts of the cardiovascular system must work properly?
Definition
heart, vasculature, lungs
Term
what is the pumping action and the pressure the heart causes during pumping called when in is in repetition?
Definition
the cardiac cycle
Term
the difference between systolic and diastolic pressure is called?
Definition
pulse pressure
Term
what is stroke volume?
Definition
CO x HR
Term
What is the Fick principle?
Definition
the idea that the quantity of O2 delivered to an organ is equal to the amt of O2 consumed by that organ and the amt carried away from that organ.
Term
What is afterload?
Definition
The peripheral resustance. It is the friction between the vessel walls and the fluid and btwn the molecules of the fluid themselves.
Term
what is the main factor that affects the resistance to blood flow?
Definition
vessel diameter
Term
an abnomral narrowing of an artery
Definition
stenosis
Term
vasodilation and vasoconstriction of these vessels primarily regulate arterial blood pressure
Definition
arterioles
Term
The normal blood volume of a 70kg adult is..
Definition
5L
Term
Stage 1 of shock
Definition
vasoconstriction- fluid is reabsorbed as it shifts from the extravascular space to the intravascular space. Anaerobic metabolism takes over and lactate and hydrogen ions increase
Term
Stage 2 of shock
Definition
Capillary and venule opening. Blook pools and stagnates in the capillary system. Acidosis and hypoxemia occur, low arterial blood pressure, and the viscera of the lungs, kidneys, liver and GI mucosa become congested with fluid.
Term
Stage 3 of shock
Definition
(also called refractory shock) blood starts to coagulate in the microcirculation, lactic acid builds around the cell. Potassium leaks out and water and salt leak out. The cells swell and die. (washout phase)
Term
Stage 4 of shock
Definition
multiple organ failure- BP falls to less than 60mmHG
Term
What kind of shock is fainting associated with?
Definition
Neurogenic shock
Term
what is hypovolemic most often caused by?
Definition
hemorrhage, and dehydration
Term
This shock results when the cardiac pump cannot deliver adequate circulating blood volume for tissue perfusion.
Definition
Cardiogenic shock- mortality rate is 80%
Term
Shock resutling from cardiac tamponade, tension pneumo, or PE is what kind of shock?
Definition
Obstructive shock
Term
This shock occurs when the body is exposed to a substance that produces a severe allergic reaction.
Definition
Anaphylactic shock
Term
This shock occurs from a serious systemic bacterial infection.
Definition
Septic shock
Term
What are the three degrees of shock?
Definition
Compensated, uncompensated, and irreversible shock
Term
How much blood is ejected from the left ventricle?
Definition
70 mL
Term
A solution that is created by dissolving crystals in water, such as sugars or salts.
Definition
Crystalloids
Term
Solutions containing molecules (usually protein) that are too large to pass through the capillary membrane. Usually blood products.
Definition
Colloids
Term
How much sodium does Normal Saline contain?
Definition
154 mEq/L
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