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20 Cards in this Set

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A 59-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused and diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying 100% supplemental oxygen, you should
prepare for immediate transport.
When treating an 80-year-old patient who is in shock, it is important to remember that:
changes in gastric motility may delay gastric emptying, which increases the risk for vomiting.
Shock is the result of:
hypoperfusion to the cells of the body.
Which of the following would MOST likely result in hemorrhagic shock?
liver laceration
Distributive shock occurs when:
Answer
widespread dilation of the blood vessels causes blood to pool in the vascular beds.
You respond to a residence for a patient with a severe leg injury following an accident with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine in the backyard. He has a partial amputation of his right lower leg that is actively bleeding. The patient is conscious and breathing adequately; however, he is restless and his skin is diaphoretic. You should:
apply direct pressure to the wound.
Hypovolemic shock caused by severe burns is the result of a loss of:
plasma
Patients develop septic shock secondary to
poor vessel function and severe volume loss
A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him epinephrine via subcutaneous injection. Upon reassessment, you determine that his condition has not improved. You should:
repeat the epinephrine injection after consulting with medical control.
One of the primary waste products of normal cellular metabolism that must be removed from the body by the lungs is:
carbon dioxide.
Clinical signs of compensated shock include all of the following, EXCEPT:
absent peripheral pulses.
In infants and children, a capillary refill time (CRT) that is greater than ______ second(s) is a sign of poor peripheral perfusion
2
Which of the following clinical signs is unique to anaphylactic shock?
wheezing
A 27-year-old male was stabbed in the chest during a disagreement at a poker game. As you approach him, you see that a knife is impaled in his chest. Before you make physical contact with the patient, it is MOST important to:
follow standard precautions.
Pulmonary edema and impaired ventilation occur during:
cardiogenic shock.
Cardiogenic shock may result from all of the following, EXCEPT:
increased preload.
A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respirations. Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm Hg, his pulse is 66 beats/min and weak, and his skin is warm and dry. In addition to spinal immobilization and rapid transport, the MOST appropriate treatment for this patient includes:
assisted ventilation, thermal management, and elevation of the lower extremities.
When perfusion to the core of the body decreases
blood is shunted away from the skin.
Capillary sphincters are:
circular muscular walls that regulate blood flow through the capillaries
Neurogenic shock occurs when
Failure of the nervous system causes widespread vasodilation.