Term
| what are the 5 types of shock? |
|
Definition
1) cardiac
2) hypovolemic
3) septic
4) neurogenic
5) anaphylatic |
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|
Term
| What area of the body has reduced blood flow first during hypovolemic shock? |
|
Definition
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|
Term
| What is the first stage of hypovolemic shock? |
|
Definition
| peripheral venous constriction |
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|
Term
| mild moderate and severe shock descriptions? |
|
Definition
mild - <20% of blood volume depleted
moderate- 20-40% - oliguria orthostatic hypotension
severe->40% oliguria, decreased BP |
|
|
Term
| What is the most sensitive indicator of intra-vascular volume? |
|
Definition
|
|
Term
| what type of fluid should you use in hypovolemic shock? |
|
Definition
| crystalloid solution with electrolytes (lactate ringers) |
|
|
Term
| What is SIRs and what do you add to this to achieve shock? |
|
Definition
S-Systemic
I-Inflammatory
R-Response
S-syndrome
add hypotension to achieve shock |
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|
Term
| How is septic shock defined? (4) |
|
Definition
1) clinical evidence of infection
2) systemic response
3) insufficient cardiovascular support
4) increased metabolic demand |
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|
Term
| What is seen in early septic shock? |
|
Definition
high cardiac output
*oliguria, decreased peripheral vascular resistance |
|
|
Term
| What is seen as septic shock progresses? |
|
Definition
|
|
Term
| What type of bacteria most commonly causes septic shock? |
|
Definition
|
|
Term
| hemoglobin should be maintained at what with septic shock? |
|
Definition
|
|
Term
| What are the 1st five steps to Early Goal Directed Therapy? (EGT) |
|
Definition
1) antibiotics
2) CVP-central line 8-12
3) SvO2 65-70
4) MAP - >65
5) Still low SvO2? Add inotrope |
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|
Term
| neurogenic shock is mostly seen in what? |
|
Definition
|
|
Term
| skin findings with neurogenic shock? |
|
Definition
| pink, warm, well perfused |
|
|
Term
| in trauma cardiac compressive shock is most likely due to? |
|
Definition
|
|
Term
| distended neck veins are a sign of what type of shock? |
|
Definition
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|
Term
| What is the major cause of death in critically ill people? |
|
Definition
| multiple organ dysfunction syndrome (MODS) |
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|
Term
| What is the most common cause of MODS? |
|
Definition
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