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13 Cards in this Set
- Front
- Back
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When does BP noticeably decrease during shock?
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Class III shock (30% or 1500mL blood loss)
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What are the best indicators of tissue perfusion?
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Urine output, mental status, dec cap refill
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Labs for measuring shock
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pH from ABG, base deficit, and lactate level
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Whats the first vital sign to change with shock?
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Tachycardia [often missed on pts with beta-blockers]
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Types of Shock
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Hypovolemic
Cardiogenic Distributive Obstructive |
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What type of Shock is Anaphylaxis?
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a type of Distributive Shock
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What type of Shock is Septic Shock?
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a type of Distributive Shock
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Describe Neurogenic Shock
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Shock from spinal cord or brain damage, a type of Distributive Shock, Usually fatal
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Cardiogenic Shock etiology
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Descreased contractility from CHF, MI, valve dz
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Obstructive Shock etiology
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PE, Cardiac Tamponade, Aortic Coarctation [anything external to heart causing decr cardiac function]
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Hypovolemic Shock etiology
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Hemorrhage, Third-Spacing, Hemorrhage
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What type of shock may not have JVD?
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Hypovolemic Shock may not have JVD
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Why order lactate levels?
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(1) Check for hypoperfusion, (2) Check for lactic acidosis, (3) Check CSF for meningitis [sign incr in bact meningitis]
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