Chapter 13 (Shock)

Question 1

Aneurysm

Answer 1

A swelling or enlargement of part of an artery
Resulting from a weakening arterial wall

Question 2

Autonomic Nervous System

Answer 2

Regulates involuntary things in body

sympathetic - Fight or flight
parasympathetic - Rest and Digest

Question 3

Cardiac Temponade

Answer 3

Compression of heart due to build up of blood or fluid in pericardial sad

Decreased cardiac output

Question 4

Cardiogenic Shock

Answer 4

Pump Failure

Question 5

Compensated Shock

Answer 5

Early stages of shock. Body can handle it. Increased heart rate, pulse strong, pale skin, marked thirst

Question 6

Cyanosis

Answer 6

Blue skin, reduced oxygen in skin, or decreased blood flow

Question 7

Decompensated Shock

Answer 7

Systolic 90 or below. Late stage of shock. Body fails to compensate.
Pulse decreases, Drop in blood pressure, worsening LOC

Dilated pupils
Thready or absent peripheral pulses

Question 8

Dehydration

Answer 8

Loss of water from the tissues of the body

Question 9

Distributive Shock

Answer 9

Sepsis, Vessel Dialation of small arteries, small venules or both.

anaphylaxis

Pool Noodle, vessels too big

Question 10

Edema

Answer 10

Large amounts of blood between cells and tissues. Causing swelling of area

Question 11

Hypolemic Shock

Answer 11

Low blood volume from blood or plasma escape.
Low eletrolytes

Question 12

Neurogenic Shock

Answer 12

Interuption of CNS, too big of vessels.
Normally won’t close below injury

Question 13

Obstructive Shock

Answer 13

Mechanical interference with blood flow.
Can be Temponade blood in heart sac

Question 14

Pericardial effusion

Answer 14

Collection of fluid between the paricardial sac and myocardium

Question 15

Preload

Answer 15

Precontraction pressure in the heart as volume builds up

Question 16

Psychogenic Shock

Answer 16

Syncope, Fainting, Fear

Temporary reduction in blood supply to brain

Question 17

Pulmonary Embolism

Answer 17

Blood clot that breaks off from large vein and travels to blood vessels to lungs causing obstruction

Question 18

Pulse pressure

Answer 18

Difference between systolic and diastolic

Systolic - Diastolic = Pulse Pressure

Question 19

Sensitization

Answer 19

Developing sensitivity to substance that initially cuased no allergic reaction

Question 20

Syncope

Answer 20

Fainting

Question 21

Septic Shock

Answer 21

Caused by severe infection
Usually bacterial

Question 22

Sphincters

Answer 22

Muscles that contract to constrict a duct, tube, or opening

Question 23

Older Patients

Answer 23

Can’t deal with shock as well.
Take numerous medications that could mimic signs or shock
dentures airway obstruction

Alert for
Higher respiratory rates
Lower tidal volume
Decreased gag reflex

Question 24

Treating Obstructive Shock

Answer 24

Pericardiocentesis Penetrating the pericardium with needle to draw blood from heart sac (ALS)

Question 25

Treating Anaphylatic Shock

Answer 25

Epinephrine, intramuscular injection If not better, conuslt medical control for another repeat injection Find what caused the reaction (how it was received also)

Question 26

Treating Septic Shock

Answer 26

Antibiotics (cant do) Blankets and High flow oxygen Ventilatory support if needed

Question 27

Treating Neurogenic Shock

Answer 27

Spinal Stabilization Assisting breathing if needed Blanket

Question 28

Treating Cardiogenic Shock

Answer 28

Posistion comfortable, Oxygen, Get suction ready and AED Rendezvous - Meet ALS half way or something

Question 29

Infants and Childen Shock

Answer 29

Seem fine for longer, Steep drop off Can be fine for up to half of blood volume lost

Question 30

Shock Treatment

Answer 30

- Primary Assessment - Bleeding (a lot) - ABC - Oxygen - Request ALS (for aggressive shock) - General impression - AVPU (LOC Scale) alert, verbal...

Question 31

Pump Failure

Answer 31

Heart attack, trauma to heart, obstuctive causes

Question 32

Low fluid volume

Answer 32

Trauma to vessels or tissues fluid loss from vomiting/diarrhea Can also lower fluid component in blood

Question 33

Poor vessel function

Answer 33

Infection, Narcotic overdose, Spinal cord injury, anaphylaxis

Question 34

Pulmonary edema

Answer 34

Backup of blood into the pulmonary vessels. Buildup for fluid out of capillary beds that surround alveoli. Oxygen cannot difuse in alveoli

Question 35

Tachypnea

Answer 35

Rapid Respirations

Question 36

Cardiac Output

Answer 36

Volume of blood heart pumps per min

Question 37

Peripheral Vasoconstriction

Answer 37

Reducing blood flow to skin

Question 38

Systemic Circulation

Answer 38

Between Heart and body

Question 39

Pulmonary Circulation

Answer 39

Between heart and lungs

Question 40

Fowler Position

Answer 40

Looks like sitting agaist wall

Question 41

Prone Position

Answer 41

Face Down

Question 42

Left lateral recumbent

Answer 42

Patient on their left side

Question 43

How Carbon Dioxide Goes to Lungs

Answer 43

Carbon dioxide is transported in the blood from tissues back to the lungs in three ways: dissolved in the plasma, combined with water in the form of bicarbonate, or attached to hemoglobin