Harper Pharm Test 3

Front 1

Initial Treatment of shock-Basic life support

Back 1

Basic life support
-Identify underlying cause
Restore normal fluid volume & composition
Maintain adequate B/P

Front 2

Initial Treatment of shock Pharmacotherapy

Back 2

IV fluids
Vasoconstrictor agents
Cardiotonic agents
Stop hypersensitive inflammatory response if anaphylaxis
Administer oxygen

Front 3

Vasoconstrictor Agents to Treat Shock

Back 3

norepinephrine (Levophed)
-Stimulates alpha and beta adrenergic receptors, causing vasoconstriction & ardiac output
*Given IV for immediate increase in B/P

Front 4

Inotropic Agents to Treat Shock

Back 4

dopamine (Intropin) Action is dependent on the dose (given IV)
*Low dose: stimulates dopa receptors in the kidneys increas blood flow / urine output, increase B/P, less stress on heart
*High dose: stimulates alpha receptors and beta 1 receptors in the heart increased cardiac output and B/P

Front 5

Anaphylactic Shock Drug therapy

Back 5

Antihistamines such as: Benadryl
Steroids / albuterol inhaler
Epinephrine

Front 6

Given SQ or IV to reverse anaphylactic symptoms
Non-selective sympathomimetic
Stimulation of alpha 1 receptors: -> B/P
Stimulation of beta 2 receptors: opens airways to relieve SOB
Stimulation of beta 1 receptors in the heart: --> cardiac output (so --> B/P)

Back 6

epinephrine (Adrenalin) (Epipen) 0.3 mg. of 1:1000 solution

Front 7

Anaphylactic

Back 7

deg

Front 8

Cardiogenic

Back 8

def

Front 9

Hypovolemic

Back 9

def

Front 10

Neurogenic

Back 10

def

Front 11

septic

Back 11

def

Front 12

Symptoms of shock

Back 12

Restlessness, anxiety, lethargy, confusion (due to decreased B/P & decreased oxygen to brain)
Thirst, low temperature, low urine output
Pale, cold, clammy skin
Low B/P
Rapid weak pulse
Shallow rapid breathing
Pallor (pale) skin