SHOCK BASICS
This is the fundamental problem occurring in all types of shock.
What is inadequate tissue perfusion / cellular hypoxia?
Stage of shock where BP is still normal due to SNS activation.
What is compensatory stage?
Most common type of shock caused by fluid loss.
What is hypovolemic shock?
Sepsis is defined as infection plus this complication.
What is organ dysfunction?
First nursing action for suspected shock.
What is assess airway and oxygenation?
Shock occurs when oxygen delivery decreases, leading cells to switch to this type of metabolism.
What is anaerobic metabolism?
Earliest vital sign change in shock.
What is tachycardia?
Shock caused by pump failure after MI.
What is cardiogenic shock?
Most common type of distributive shock.
What is septic shock?
Why large fluid replacement must be monitored closely.
What is risk for pulmonary edema?
The lab finding that rises because of anaerobic metabolism and indicates worsening shock.
What is lactic acid (lactate)?
Stage where hypotension begins and mental status declines.
What is progressive stage?
Warm dry skin and bradycardia indicate this type.
What is neurogenic shock?
Early septic shock skin finding.
What are warm bounding pulses?
Medication given first for anaphylaxis.
What is epinephrine?
The minimum MAP needed to perfuse vital organs.
What is 65 mmHg?
Stage where treatment no longer works and organ failure occurs.
What is irreversible (refractory) stage?
Severe allergic reaction causing vasodilation and airway compromise.
What is anaphylactic shock?
Chemical mediators responsible for vasodilation and capillary leak.
What are cytokines / inflammatory mediators?
Goal of vasoactive medications in shock.
What is maintain MAP ≥ 65 mmHg and perfusion?
The final pathway of untreated shock.
What is multiple organ dysfunction syndrome (MODS)?
Why skin becomes cool and pale in compensatory shock.
What is blood shunting to vital organs?
Pooling of blood in peripheral vessels due to vasodilation defines this category of shock.
What is distributive shock?
Priority treatment once sepsis suspected.
What is rapid fluid resuscitation and treat infection?
Most important nursing concept in all shock types.
What is restoring oxygen delivery to the cell?