Cardiogenic shock most commonly occurs as a result of what?
Severe heart attack (myocardial infarction), where the heart muscle is damaged and unable to pump enough blood to meet the body's needs
Hypovolemic shock is defined as acute blood loss causing poor perfusion to organs.
True
False
False
Also known as volume depletion or volume contraction, is a state of abnormally low extracellular fluid in the body.
When someone has severe sepsis, their chance of survival drops by 8% each________?
Hour
A common condition that occurs when blood flow is impaired due to excessive vasodilation
Distributive shock
What was the instructor's previous job before coming to UW?
Site supervisor for Mayo Clinic in Austin and Albert Lea, MN
This happens when there is increased pressure in the superior vena cava.
jugular vein distention
You are treating the 23-year-old female patient who has been shot. You have stopped the bleeding from the gunshot wound in her leg and have covered the gunshot wound to her chest. Her vitals signs are heart rate of 120, blood pressure of 86/58, SpO2 on O2 94%, respiratory rate of 28. She opens her eyes when you talk to her, and she squeezes your hand on command. What describes the patient’s condition?
Uncompensated hypovolemic shock.
True or False:
Severe Covid-19 is viral sepsis.
True
The immune system releases a flood of chemicals that can cause the body to go into shock
Anaphylaxis
Favorite sports team
Chicago Cubs
Fluids are absolutely contraindicated in suspected cardiogenic shock?
True
False
False.
Small boluses may be given if lungs are clear and pt is evaluated often.
What is the loading dose of TXA in a patient with hemorrhagic shock?
1 Gram over 10 minutes
All of the following are signs of sepsis EXCEPT:
A. confusion
B. Extreme pain
C. Rapid breathing
D. Fever
E. Slow heart rate
Slow heart rate
Which form of shock presents with warm pink skin, as opposed to pale and clammy skin?
Neurogenic shock
What are the names of the instructor's kids?
Bonus if you can name the "bonus" child.
Madalyn
Camden
Victoria
What is a normal cardiac output in an adult at rest?
Around 5 liters of blood per minute
A person with severe hypovolemic shock will have lost more than ___% of their blood.
40%
The systolic pressure will be 100 mm Hg or lower. Heart rate will increase to over 120 beats per minute (bpm). They will also have a rapid breathing rate of more than 30 breaths per minute
Almost ___% of sepsis survivors over the age of 50 experience worsened cognitive (mental) and/or physical function.
A. 10
B. 25
C. 60
D. 75
60%
Older sepsis survivors are left with, on average, one to two new limitations on activities of daily living (e.g. bathing, dressing, managing money) after hospitalization.
You are treating a person who has been stabbed in the upper right chest during an argument. The patient’s vital signs include a heart rate of 118, a blood pressure of 96/60, SpO2 of 92% and chest rise only on the left side. What type of shock is the patient most likely suffering from?
Obstructive shock
Where did the instructor get their degree?
Bonus: Paramedic certificate?
UW Oshkosh
Bachelor of Science in Education
Mercy Hospital in Janesville
The provider has ordered norepinephrine to infuse at 30 mL/hr. The bag arrives from the pharmacy composed of 40 mg of norepinephrine contained in a 500 mL solution. Calculate how many mcg/minute the client receives
In a hypovolemic patient, what is the target MAP?
60 to 65 mm Hg or greater
Approximately how many people in the United States die from Sepsis each year?
150,000
350,000
950,00
According to the CDC, Sepsis contributes to at least 350,000 deaths annually.
What is the formula to calculate MAP?
Diastolic pressure (times 2) + systolic pressure
----------------------------------------------------
3
120/80= 80x2=160+120=280/3= 93 MAP
Last concert attended
Alice Cooper