Shock
Give examples of causes of obstructive shock
Cardiac tamponade
Pulmonary Embolism
What is your main concern when caring for a patient with a soft tissue injury to the face?
airway compromise
If your multi-system trauma patient is unresponsive and apneic. What should you check for next?
Pulse
High flow O2
keep him warm
start atleast 1 large bore IV of NS, administer fluid bolus to maintain perfusion
_________ is the pressure in the aorta against which the left ventricle must pump.
Afterload
A patient with hemorrhagic shock would be expected to have flattened or distended jugular veins?
Flattened
True or False:
Most external hemorrhage can be controlled with a combination of direct pressure and pressure dressings
True
Passive stretch pain, pressure, paresthesia are al signs and symptoms of __________ __________.
Compartment Syndrome
Treatment for chemical burns???
Flush with copious amounts of water
**daily double**
During _________ metabolism, the precapillary sphincters relax in response to lactic acid build up.Anaerobic
Why does relative bradycardia occur during neurogenic shock?
Sympathetic nervous system is not stimulated to release catecholamines
**Daily Double**
Heart, blood, blood vessels are all components of _________________.
The Perfusion Triangle
Your burn patient has a hoarse voice... what is your immediate concern?
Inhalation injury
** daily double**
When considering analgesia for a burn patient, what is there to remember about metabolic rate? and the dose??
Burns INCREASE metabolic rate, therefore a HIGHER dose may be necessary
What is trendelenburg?
elevated foot end of board 6-12 inches
What type of shock is widespread dilation of the resistance and capacitance vessels?
Distributive
What is the most significant immediate threat to a patient with soft tissue injuries?
Hemorrhage
If your patient was catapulted over the handlebars of his bike, what is most likely the patients presenting injuries?
Bilateral femur fractures
Which burn is extremely painful for the patient?
Partial thickness
Vasoconstriction and platelet aggregation are part of what process?
Hemostasis
**daily double**
__________ _________ is the most common cause of cardiogenic shock.
Myocardial Infarction
Your patient was moving bags of dry lime when one bag spilled on him causing chemical burns. How do you treat this burn?
Remove clothing and brush off as much as possible
What causes burn shock?
fluid loss
Which level of burns destroy the base membrane of the dermis that produces new skin cells.
Cardiac output is dependent of ______ ______ and heart rate.
Stroke Volume
What is the recommended bolus for a patient in shock?
20 mL/kg until pulses become stronger
When a patients leg is entrapped under a heavy object for a long period of time, toxic metabolic waste products are released into the systemic circulation at what point?
After patients leg is freed from object
True or False :
A patient is compensated shock will present anxious or agitated
True
Your 29 year old male who was electrocuted is confused. Treatment has been established. What should you be most cautious of during transport?
Lethal cardiac dysrhythmias
What substance or element reinforces red blood cells, creating the final step in the formation of a blood clot?
Fibrinogen
Shock in the trauma patient should be considered ________ shock until proven otherwise.
Hemorrhagic
Suction blood from airway and assist ventilations
Mottled skin and dilated pupils
Decompensated
This burn is characterized by reddened skin with varying degrees of pain
Superficial burns
cool, humidified
A falling blood pressure in an adult indicates ______________ shock.
Decompensated
A trauma patient with hypotension due to bleeding, should receive IV fluids in order to ...
In addition to fluids, treatment for a patient in neurogenic shock may include?
Dopamine
Your patient has full thickness burns to the head and anterior trunk, and mixed partial thickness/full thickness burns to both anterior upper extremities. What percentage of BSA has been burned?
36%
_____ is the circulation of blood within an organ or tissue in adequate amounts to meet the cells current needs
Perfusion