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17 Cards in this Set
- Front
- Back
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What are signs and symptoms of shock?
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Hypotension
Tachycardia Oliguria ALOC |
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What is the initial therapy for shock?
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Airway maintenance
Oxygen CPR IV access Fluid resuscitation (Current pg 491) |
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How do you treat an unresponsive patient in shock?
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50% Dextrose and 2mg Naloxone (Narcan) IM followed by GCS and then intubation
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what does a capillary wedge pressure or pulmonary wedge pressure of less than 5 mmHg suggest?
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< 5 mmHg = hypovolemia
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what does a capillary wedge pressure or pulmonary wedge pressure of more than 18 mmHg suggest?
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> 18 mmHg suggest:
volume overload cardiac failure Tamponade Pulmonary hypertension |
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What fluid is given to a pt with hemorrhagic shock?
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Blood (PRBC to keep Hct above 30%)
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Each unit of whole blood raises the Hct by?
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3%
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When should fresh frozen plasma be given?
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With:
Abnormal coagulation studies Platelet count < 10,000/mcL Transfusion of over 6 units of PRBC |
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What fluids are given if Hct is >30% and CVP is < 8 mmHg
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Crystalloids:
NS Lactated Ringer's |
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What is the first-line drug treatment for cardiogenic shock?
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Dobutamine 2-20 mcg/kg/min
Has inotropic effect and afterload reduction |
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What are some causes of Cardiogenic shock?
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MI
Cardiomyopathy Myocardial contusion Valve incompetence/stenosis Arrythmias |
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What are the subtypes of Distributive shock?
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Septic shock
Anaphylactic shock Neurogenic Vasodilater drugs Acute adrenal insufficiency |
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What is distributive shock?
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Inadequate cardiac output despite normal circulatory volume (Blood vessel dilation)
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What is the MCC of distributive shock?
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Septic shock
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What are common organisms that cause septic shock?
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Gram negatives:
E.coli Klebsiella Proteus Pseudomonas |
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What are the S/Sx of septic shock?
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Fever
Chills Hypotension Hyperglycemia ALOC |
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What are etiologies of neurogenic shock?
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Spinal cord injury
Epidural or spinal anesthetic Reflex vagal parasympathetic stimulation (evoked by pain, gastric dilation, or fright) |
