Shock PP 1-19 Flashcards Preview

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Flashcards in Shock PP 1-19 Deck (58)
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31

In the _______ stage, Cellular and organ dysfunction result from oxygen-free _____, release of inflammatory _____, and activation of the _____ cascade

progressive; radicals; cytokines; clotting

32

In shock, ______ and _______ are increased

HR and RR

33

In shock, there is decrease in _____ output and increase in specific _____

urine; gravity

34

In shock, there is release of ______ and _____

aldosterone and cortisol

35

In shock, there is constriction of _____ vessels, causing ____

splanchnic; nausea/abdominal pain

36

In shock, there is ______ and decreased pulse pressure

hypotension

37

In shock there is decreased _____ refill and ______ color

capillary; cool/clammy/blue-gray

38

_____ pupils, release of _____, and _____ signs of shock

dilated; ADH, thirst/restlessness

39

Usually result of severe ventricular dysfunction associated with MI

Cardiogenic shock

40

Features of cardiogenic shock include decreased _____, ______ edema, ______ heart sounds, and _____ pulse pressure

CO, pulmonary, S3, narrow

41

Features of cardiogenic shock include elevated ____

preload

42

In cardiogenic shock, low _____ leads to low _____

CO; SVO2

43

In _______ shock, therapy aimed at improving ____ and myocardial oxygen delivery, decreasing workload

cardiogenic; CO

44

Inotropic, preload reducing, and afterload reducing agents used to treat ______ shock

cardiogenic

45

Intraaortic balloon counterpulsation, ventricular assist devices, heart transplantation used to treat ______ shock

cardiogenic

46

Results from mechanical obstructions that prevent effective cardiac filling and stroke volume

obstructive shock

47

Common causes of obstructive shock include (3)

pulmonary embolism, cardiac tamponade, and tension pneumothorax

48

Obstructive shock manifests as ____-sided heart failure

right

49

Rapid management of underlying obstruction is required to prevent cardiovascular collapse in _____ shock

obstructive

50

Results from inadequate circulation blood volume precipitated by hemorrhage, burns, dehydration, or leakage of fluid into interstitial spaces

Hypovolemic shock

51

Most common cause of hypovolemic shock

External hemorrhage

52

In _______ shock, low CO and preload lead to SNS activation = elevated _____, _______, and increased ______

Hypovolemic; HR, vasoconstriction, contractility

53

What are the 4 classes of hypovolemic shock?

Four classes: I (15% loss), II (15% to 30%), III (30% to 40%), IV (>40%)

54

Therapy is aimed at fluid replacement and controlling the source of volume loss

Hypovolemic shock

55

Name 3 things used for therapy regarding hypovolemic shock?

Crystalloids, colloids, blood products

56

Characterized by excessive vasodilation and peripheral pooling of blood

Distributive shock

57

CO inadequate due to reduced preload

Distributive shock

58

3 types of distributive shock?

Anaphylactic shock
Neurogenic shock
Septic shock