Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/17

Click to flip

17 Cards in this Set

  • Front
  • Back
What are signs and symptoms of shock?
Hypotension
Tachycardia
Oliguria
ALOC
What is the initial therapy for shock?
Airway maintenance
Oxygen
CPR
IV access
Fluid resuscitation

(Current pg 491)
How do you treat an unresponsive patient in shock?
50% Dextrose and 2mg Naloxone (Narcan) IM followed by GCS and then intubation
what does a capillary wedge pressure or pulmonary wedge pressure of less than 5 mmHg suggest?
< 5 mmHg = hypovolemia
what does a capillary wedge pressure or pulmonary wedge pressure of more than 18 mmHg suggest?
> 18 mmHg suggest:

volume overload
cardiac failure
Tamponade
Pulmonary hypertension
What fluid is given to a pt with hemorrhagic shock?
Blood (PRBC to keep Hct above 30%)
Each unit of whole blood raises the Hct by?
3%
When should fresh frozen plasma be given?
With:
Abnormal coagulation studies
Platelet count < 10,000/mcL
Transfusion of over 6 units of PRBC
What fluids are given if Hct is >30% and CVP is < 8 mmHg
Crystalloids:

NS
Lactated Ringer's
What is the first-line drug treatment for cardiogenic shock?
Dobutamine 2-20 mcg/kg/min

Has inotropic effect and afterload reduction
What are some causes of Cardiogenic shock?
MI
Cardiomyopathy
Myocardial contusion
Valve incompetence/stenosis
Arrythmias
What are the subtypes of Distributive shock?
Septic shock
Anaphylactic shock
Neurogenic
Vasodilater drugs
Acute adrenal insufficiency
What is distributive shock?
Inadequate cardiac output despite normal circulatory volume (Blood vessel dilation)
What is the MCC of distributive shock?
Septic shock
What are common organisms that cause septic shock?
Gram negatives:

E.coli
Klebsiella
Proteus
Pseudomonas
What are the S/Sx of septic shock?
Fever
Chills
Hypotension
Hyperglycemia
ALOC
What are etiologies of neurogenic shock?
Spinal cord injury
Epidural or spinal anesthetic
Reflex vagal parasympathetic stimulation (evoked by pain, gastric dilation, or fright)