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17 Cards in this Set

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  • Back
anaphylactic shock
circulatory shock state resulting from a severe allergic reaction producing an overwhelming systemic vasodilation and relative hypovolemia
biochemical mediators
messenger substance that may be released by a cell to create an action at that site or be carried by the bloodstream to a distant site before being activated; aka cytokines
cardiogenic shock
shock state resulting from impairment or failure of the myocardium
colloids
intravenous solutions that contain molecules that are too large to pass through capillary membranes
crystalloids
electrolytic solutions that move freely between the intravascular compartment and interstitial spaces
circulatory shock
shock state resulting from displacement of blood volume creating a relative hypovolemia and inadequate delivery of oxygen to the cells; aka distributive shock
hypovolemic shock
shock state resulting from decreased intravascular volume due to fluid loss
neurogenic shock
shock state resulting from loss of sympathetic tone causing relative hypovolemia
septic shock
circulatory shock state resulting from overwhelming infection causing relative hypovolemia
shock
physiologic state in which there is inadequate blood flow to tissues and cells of the body
SIRS - systemic inflammatory response syndrome
overwhelming inflammatory response in the absence of infection causing relative hypovolemia and decreased tissue perfusion
name the shock states that are caused by a loss of vascular tone and what are these collectively referred to as?
-septic
-neurogenic
-anaphylactic shock
CIRCULATORY/.DISTRIBUTIVE/VASOACTIVE SHOCK
circulatory shock is aka
distributive or vasoactive shock
Physiologic responses that are common to all types of shock
1. hypoperfusion of the tissues
2. SNS activation
3. hypermetabolism
4. activation of the inflammatory response
What is the final pathway of all shock states?
a derangement in the compensatory mechanisms to effectively restore phsyiologic balance
1. inadequate perfusion to the cells that results in
a. cellular hypoxia,
b. end organ damage,
and c. ultimately death
What negative effect occurs with anaerobic metablism?
-yields less ATP
-accumulation of lactic acid (a toxic end product) which must be removed from the cell and transported to the liver for conversion into glucose and glycogen
where is lactic acid transported to after leaving the cell?
the liver for conversion of lactic acid into glucose and glycogen