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35 Cards in this Set

  • Front
  • Back
adequate blood flow requires which 3 things?
Adequate pump
sufficiant blood volume
efficient vascular/circulatory system
permiablity--cell membranes become more permiable and fluid shifts occur. This is called
third spacing
if you have a problem with the pump the ____ are going to ____ to change the pressure
vessles, constrict or dialate
if you have a problem with loss of volume, the heart is going to ______ and the blood vessles are going to _____
beat faster, get smaller
3 states of shock are
compensatory, progressive and irreversable
mental confusion, vessels constrict, heart rate speeds up, < urinary output, hypoactive BS
first signs...compensatory
when you get constriction in the capilary level, you don't get ___back and forth and this is when you see ___
O2, cellular permeability
cells start swelling, fluid leaks out and you start third spacing..puffy and edemetous
cellular permeability
blood pressure regulation no longer compensating, organs suffer from hypoperfusion
progressive shock
MAP falls below 90, heart/pump failure,tachy, >Resp, angina, PVC's
progressive
organ damage so severe that patient does not respond to treatment and will not survive
irreversable
the goal of treatment for all types of shock is...
to reduce and reverse the severity of shock
all phases of shock and managment include
replacement of fluids
vasoactive medications
nutritional support
2 most common crystalloids used are
NS, LR
disadvantage of crystalloids
3 parts of the vol given are lost to interstitial compartments for each one part that remains
adequate blood flow requires which 3 things?
Adequate pump
sufficiant blood volume
efficient vascular/circulatory system
permiablity--cell membranes become more permiable and fluid shifts occur. This is called
third spacing
if you have a problem with the pump the ____ are going to ____ to change the pressure
vessles, constrict or dialate
if you have a problem with loss of volume, the heart is going to ______ and the blood vessles are going to _____
beat faster, get smaller
3 states of shock are
compensatory, progressive and irreversable
mental confusion, vessels constrict, heart rate speeds up, < urinary output, hypoactive BS
first signs...compensatory
when you get constriction in the capilary level, you don't get ___back and forth and this is when you see ___
O2, cellular permeability
cells start swelling, fluid leaks out and you start third spacing..puffy and edemetous
cellular permeability
blood pressure regulation no longer compensating, organs suffer from hypoperfusion
progressive shock
MAP falls below 90, heart/pump failure,tachy, >Resp, angina, PVC's
progressive
organ damage so severe that patient does not respond to treatment and will not survive
irreversable
the goal of treatment for all types of shock is...
to reduce and reverse the severity of shock
all phases of shock and managment include
replacement of fluids
vasoactive medications
nutritional support
2 most common crystalloids used are
NS, LR
disadvantage of crystalloids
3 parts of the vol given are lost to interstitial compartments for each one part that remains
larger molecule plasma protiens, IV solutions, or blood products
colloids
you should not use which colloid in hemorragic shock and coagulopathy
dextran..interfere with platelet aggragation
shock patients require >? cal per day?
3000
most common type of shock
hypovolemic
parenteral or enteral nutrition should be administered _____ within the first ___ hours
as early as possible, 24