Ccemt-P Shock And Shock Management

Front 1

Define Shock

Back 1

A condition where insufficient blood flow reaches the body tissues

Front 2

What are the four stages of Shock?

Back 2

1= Initial
2= Compensatory
3= Decompensating
4= Irreversible

Front 3

What are the 4 types of Shock?

Back 3

1= Distributive Shock
2= Obstructive Shock
3= Cardiogenic Shock
4= Hypovolemic Shock

Front 4

Define Distributive Shock

Back 4

The loss of competency of the vasculature.

Front 5

What are the 3 types of Distributive Shock.

Back 5

1= Septic
2= Anaphylactic
3= Neurogenic

Front 6

What causes Septic Shock?

Back 6

An overwhelming infection leading to vasodilation.

Front 7

What causes Neurogenic Shock?

Back 7

It is caused by trauma to the spinal cord resulting in the sudden loss of autonomic and motor reflexes below the injury level.

Front 8

What causes Anaphylactic Shock?

Back 8

Caused by a severe reaction to an allergen, antigen, drug or foreign protein.

Front 9

Define Obstructive Shock

Back 9

The loss of pathway
(flow of blood is obstructed which impedes circulation)

Front 10

What causes Obstructive Shock?

Back 10

1= airway obstruction
2= cardiac tamponade
3= tension pneumothorax

Front 11

Define Cardiogenic Shock

Back 11

Failure of the heart to pump effectively

Front 12

What causes Cardiogenic Shock?

Back 12

Large myocardial infarction, non-perfusing arrhythmias, cardiomyopathy, congestive heart failure (CHF), cardiac valve problems, trauma, tuberculosis sequelae.

Front 13

Define Hypovolemic Shock

Back 13

Loss of volume
(insufficient circulating volume)

Front 14

What causes Hypovolemic Shock?

Back 14

Burns, hemorrhage, splentic rupture, trauma, extensive bleeding.

Front 15

Loss of competency of the vasulature is _______ shock.
Loss of pathways is ______ shock.
Loss of pump action by the heart is _______ shock.
Loss of volume is _______ shock.

Back 15

1= Distributive
2= Obstructive
3= Cardiogenic
4= Hypovolemic

Front 16

Wbat is the general management for shock?

Back 16

1. establish oxygenation
2. Stop obvious hemorrhage
3. Gain IV access
4. Administer appropriate fluids
5. Correct metabolic acidosis
6. Monitor cardiac rhythm
7. Insert Urinary catheter
8. Consider PASG

Front 17

How do you manage Septic Shock?

Back 17

1. Fluid replacement therapy
2. Inotropic agents
3. Antibiotic therapy
4. Corticosteroids
5. Heparin
6. Possible surgical measures

Front 18

How do you manage Neurogenic shock?

Back 18

1. Volume replacement
2. Pressors
3. Positioning

Front 19

How do you manage Anaphylatic shock?

Back 19

1. Remove causation agent
2. Epinephrine
3. Diphenhydramine
4. Steriods
5. Bronchodilators

Front 20

How do you manage Cardiogenic shock?

Back 20

1. General shock management
2. Monitor urine output
3. treat/reverse dysrhythmias

Front 21

How do you manage Hypovolemic Shock?

Back 21

1. Fluid Resuscitation
2. Blood replacement
3. Surgical measures