SHOCK

Medications

100

Name three inotropic medications

Dobutamine, dopamine, epinephrine, norepinephrine, milrinone

200

What medication can a respiratory therapist administer for stridor?

Racemic Epinephrine

300

Name one crystalloid solution

Isotonic Saline or Ringer Lactate

400

Norepinephrine is what type of medication?

Vasopressor

500

What is shock also referred to?

Hypoperfusion

Physical Exam

100

What type of shock should you be concerned about?

Anaphylactic

200

Your patient is diaphoretic, cool and clammy, has a weak rapid pulse and complains they have decreased urine output. What type of shock is this?

Hypovolemic

Cardiogenic

300

What is being tested or observed with this image?

Skin turgor

400

What does CABG stand for?

Coronary artery bypass grafting

500

Your patient has an elevated pulmonary capillary wedge pressure. Does this affect the right or left heart?

Left heart

But why?

100

What is the most common cause of distributive shock?

Sepsis

200

What are potential causes of cardiogenic shock?

CHF

MI

Valvular diseases (Myocarditis, Endocarditis)

300

Which conditions can lead to an obstructive shock?

cardiac tamponade

pulmonary embolism

tension pneumothorax

400

Name three causes of anaphylactic shock

Food allergies

Medication allergies

Allergic reaction produced by basil and mast cells 

Insect venom

Latex

Aerobic exercise

Idiopathic

500

Septic shock results in hypoalbuminemia. Why should RRTs be concerned with hypoalbuminemia?

Low levels results in alveolar flooding causing ARDS

But which one?

100

This type of shock is a life threatening condition caused by irregular blood circulation in the body

Neurogenic Shock

200

Which type of shock can be caused by severe diarrhea?

Hypovolemic Shock

300

Which type of shock is the most common death in ICUS in the US?

Septic Shock

400

A patient presents to the ED in distress. The patient is having trouble breathing, is hypotensive, and a physical exam reveals pruritis and urticaria. Based on the information above, which type of shock is the patient most likely to be experiencing?

Anaphylactic Shock

500

This type of shock is characterized by very low cardiac output and increased systemic vascular resistance

Obstructive Shock

Shock Me

100

What is this device?

LVAD

200

This type of shock is also called septic shock

Distributive

300

What is this device and what does it measure?

Swan Ganz Catheter

CVP, PAP, PCWP, SVR and PVR  

400

Circulation to the vital organs (kidneys, coronary arteries) may be compromised if the MAP falls to below _____ mm Hg

60

500

What is the primary problem in patients with septic shock?

Low systemic vascular resistance