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/ Shock, Sepsis, Hemodynamics Hendriksz
Can you name the Shock, Sepsis, Hemodynamics ?
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Type of Shock: Patient who has a high fever
Name a sign or symptom of shock
Type of Shock: Results from absolute deficiency of intravascular blood volume. Rapid loss of ventricular volume reduces preload.
Type of Shock: Requires surgical correction
What is the therapy for Cardiac Tamponade?
What drug should you give: 81yo woman BP 60/30 was treated with 2L of IV normal saline but her BP remained low.
get BP back up to perfuse tissues
Type of Shock: Intravascular volume loss, hemorrhage, Interstitial loss (sepsis, burns, ascites)
Type of Shock: Causes are Congenital heart disease, Coarctation of the aorta, acquired heart disease
Defined as 2 or more of the following; Fever, HR more than 90bpm, Respiratory rate more than 2, Abnormal WBC count greater than 12000 per uL
__________is dependent upon Heart Rate and Stroke Volume.
Clinical syndrome that results from inadequate tissue perfusion.
Type of Shock: Most common cause is Anaphylaxis. Other causes are head injury, spinal shock, drugs, and Sepsis.
Type of Shock: Impairment of Cardiac Contractility. Results in decreased SV and CO.
Type of Shock: Causes are CHF, IHD, Cardiomyopathy, Tamponade, Sepsis, Drugs.
Always start with ________ to treat Shock.
Type of Shock: Incorporates multiple aspects of the other types of shock. Can induce the activity of the enzyme NITRIC OXIDE SYNTHASE to produce potent VASODILATOR Nitric Oxide
Electrical Alternance where QRS goes up and down is found in this type of heart murmur.
Type of Shock: Associated with physical obstruction of the great vessels (aorta, pulmonary trunk) and the heart itself
Type of Shock: Normal peripheral vascular tone becomes inappropriately relaxed. Vasodilation results in increased venous capacitance
Type of Shock: Sepsis- Systemic inflammatory response triggered by the presence of infectious agents or their toxins. Inflammatory mediators affect how much oxygen the tissues get.
Once ABCs have been performed, immediate attention should be placed on improving _________ and systemic oxygen.
____________is dependent upon Preload, Afterload, Contractility.
Type of Shock: Necessitates a completely different treatment from all the others (surgery, do not push fluids)
Shock results in _____ changes in microvasculature
Type of Shock: Patient who suffered injury from a MVA
Which two organs does the body try to maintain perfusion to (at the expense of all other organs)?
Type of Shock: HTN is secondary. Decrease in Preload and decrease in PVR
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