Shock

Types

100

Severe loss of body fluids

Hypovolemic

200

MI, cardiac injury, dysrhythmia

cardiogenic

300

Block to CV flow, pericardial tamponade, tension pneumothorax

Extracardiac obstrstructive shock

400

massive vasoldialtion

distributive

500

massive release of chemical mediators and endotoxins from bacteria

septic

Therapeutic Measures

100

1st intervention  that you do

respiratory support

200

What medication class to support if fluid resuscitation is not effective

Vassopressors

300

Methods to control bleeding

direct pressure,

Pressure dressing

surgical intervention

400

Treatment septic shock

broad spectrum antibiotics

500

1st line medication for anaphylactic shock

epinephrine

Medications

100

Bronchodilates

epinephrine (Adrenaline)

200

After epinephrine what will you use for severe allergic reactions

methylprednisolone (Solu-Medrol)

300

Strengthen cardiac output

dobutamine

400

Beta Adrenergic Agent increases cardiac output in cardiogenic shock

dobutamine (Dobutrex)

500

inhibits antihistamine release

Diphenhydramine (Benadryl)

Anything goes

100

name two basic signs/symptoms of shock

hypotension & tachycardia

200

Nursing diagnosis r/t organ failure with interventions that will prevent

Alteration in tissue perfusion

or

decreased cardiac output

300

Compensatory mechanism caused by decreased cardiac output

tachycardia

400

reduced blood flow to kidneys causesw

oliguria

500

compensatory mechanism peripheral vasoconstriction shunts blood to vital organs what are the signs and symptoms that can be felt with hands

cool clammy skin

Organs

100

effect of shock on the heart

dysrhythmia

ischemia

200

liver abnormal clotting what is the term for this

DIC

disseminated intravascular coagulation

300

no bowel sounds

paralytic ileus

400

Central Nervous System end stage of shock

ischemia, necrosis, brain death

500

term for primary cause of organ damage

hypoperfusion