Show:
Lab Values 1
Lab Values 2
Shock Classification
Shock Stages
MODS
100
What are the normal serum sodium values?
135 - 145 mEq/L
100
What are the normal serum chloride levels?
97 - 107 mEq/L
100
Which type of shock is the result of decreased intravascular volume due to fluid loss?
Hypovolemic Shock
100
What stage of shock is the patient in if the SNS is causing vasoconstriction, increased heart rate and increased heart contractility, while maintaining blood pressure and cardiac output?
Compensatory Stage of Shock
100
When a patient is diagnosed with multiple organ dysfunction syndrome (MODS), how many organs must have altered function severe enough to need interventions to support continued organ function?
Two or more organs
200
What are the normal serum potassium values?
3.5 - 5.0 mEq/L
200
What are the normal pH levels?
7.35 - 7.45
200
Which type of shock is a circulatory state that results from severe allergic reaction producing overwhelming systemic vasodilation and relative hypovolemia?
Anaphylactic Shock
200
Which stage of shock is the patient in when they do not respond to any treatments, their blood pressure is extremely low, and they develop renal and liver failure?
Irreversible Stage of Shock
200
What is usually the first organ to fail when a patient begins to develop multiple organ dysfunction syndrome (MODS)?
The lungs, and cardiovascular instability as well as failure of the hepatic, GI, renal, immunologic, and central nervous systems.
300
What are the normal serum calcium values?
8.6 - 10.2 mg/dL
300
What are the normal bicarbonate levels?
22 - 26 mEq/L
300
What type of shock is a circulatory shock that results from an overwhelming infection that causes hypovolemia?
Septic Shock
300
Which stage of shock is the patient in when their body shunts blood from their skin, kidneys and gastrointestinal tract leading to cool, clammy skins, hypoactive bowel sounds, and decreased urine output?
Compensatory Stage of Shock
300
What is the mortality rate for patients who develop multiple organ dysfunction syndrome (MODS)?
75%
400
What are the normal serum magnesium levels?
1.3 - 2.3 mg/dL
400
What are the normal PaCO2 levels?
35 - 45 mm Hg
400
What type of shock is the result of myocardial impairment or failure
Cardiogenic Shock
400
Which stage of shock is the patient in when their lungs begin to fail and they have decreased pulmonary blood flow, which causes more severe hypoxemia, increased carbon dioxide levels, the alveoli collapse, with the occurrance of pulmonary edema?
Progressive Stage of Shock
400
At what cellular level are tissues hypoperfused in multiple organ dysfunction syndrome (MODS)?
Both microcellular and macrocellular levels, eventually casuing organ dysfunction that requires mechanical and pharmacologic intervention to support organ function.
500
What are the normal serum phosphorous levels?
2.5 - 4.5 mg/dL
500
What are the normal PaO2 values?
80-100 mm Hg
500
What type of shock results from loss of sympathetic tone that leads to hypovolemia?
Neuropathic Shock
500
Which stage of shock is the patient in when multiple organ dysfunction can progress to complete organ failure?
Irreversible Stage of Shock
500
What are the treatments for multiple organ dysfunction syndrome (MODS)?
1. Controlling the initiating even 2. Promoting adequate organ perfusion 3. Providing nutritional support