Types of Shock
Most common type of shock causing peripheral vasodilation with the categories of septic shock, anaphylactic shock, neurogenic shock, and endocrine shock.
What is disruptive shock?
Patient arrives to the clinic and is presenting with severe abdominal pain and having black bowel movements. PMH of alcohol abuse, chronic liver disease, diabetes mellitus and drug abuse. The patient is hypotensive and pale.
What is hypovolemic shock?
Patient presenting with anaphylactic shock, the nurse recognizes this and administers this IM injection.
What is epinephrine?
Lab that needs to be done before a blood transfusion.
What is a type and screen?
Severe hypoperfusion due to decrease oxygen delivery, increased oxygen consumption or increased oxygen utilization.
What is shock?
Type of shock that occurs due to decreased intravascular volume can be either hemorrhagic or non-hemorrhagic.
Patient presents to the emergency room with angioedema, hives, is wheezing and severe hypotension.
What is anaphylactic shock?
What is fluid replacement or blood transfusion?
Type of lab that needs to be drawn before any broad spectrum antibiotic is given.
What is urine and blood cultures?
Damage to the brain or spinal cord resulting in systemic hypoperfusion.
Type of shock caused by an alteration within the heart leading to a decreased cardiac output and systemic hypoperfusion.
What is cardiogenic shock?
A 89 year old women comes into the clinic with alteration in mental status, temperature of 101.2, frequent urination, and extreme hypotension.
What is septic shock?
Sequence of treatment for septic shock.
Labs used to determine amount of impairment or development of organ dysfunction or organ failure.
What is renal and liver function labs? (Creatinine, BUN, GFR, ALT, AST)
Irreversible organ dysfunction, multiorgan failure and death.
What is end-organ dysfunction or MODS?
What is obstructive shock?
A 16 year old arrives to the ED via ambulance after getting checked from behind at a high school hockey game. C-spine was not stabilized until after paramedics arrived. He is hypotensive, has a variable heart rate, is vomiting, and is having difficulty speaking.
What is neurogenic shock?
Drug often titrated to keep MAP greater than 65 and counteract systemic vasodilation.
What is epinephrine (levophed)?
Name That ABG
pH: 7.28
CO2:40
Bicarb: 19
Mechanisms to counter decreased tissue perfusion.
What is tachycardia, peripheral vasoconstriction, changes in systemic blood pressure?
Type of disruptive shock that occurs due to dysregulated response to infection.
What is septic shock?
Patient arrives via ambulance to the ED presenting with chest pain. A 12-Lead EKG shows ST segment elevation. The patient is take to the Cardiac Cath Lab for a stent. Post-operatively it is determined that the mycardium was 45% damaged.
First lab drawn if suspecting shock.
What is lactate level?
The primary indicator of anaerobic metabolism.
What is lactate level?
What is Beck's Triad?