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Types of shock
Hypovolemic
Distributive (vasogenic)
Cardiogenic
Spinal/Neurogenic
Stages of Shock
Compensated / Nonprogressive
Decompensated / Progressive
Irreversible
Signs and symptoms of shock
Loss of sympathetic tone
Hypotension
Skin condition
Bradycardia
Early / Compensated shock
Signs and symptoms
Narrow pulse
+ Orthostatic tilt test
Tachycardia
Pale, cool skin
Diaphoresis
No ALOC
Anxious / apprehensive
Stable BP
Dry mucosa
Thirst
Weakness
- Cap refill
Late / Progressive shock
Signs and symptoms
Tachycardia
Pale, cool skin
Diaphoresis
Decreased ALOC
Hypotension
Nausea
Cyanosis
Changes associated with compensated shock
Signs and symptoms of early shock
BP
: normal to high
Management of shock
(compensated / decompensated)
Recovery
Fluid replacement
Transportation considerations for Trauma
Rapid transport to trauma center
Air Medivac
**does this pt. need surgery NOW!!**
Changes associated with decompensated shock
Signs and symptoms of late shock
BP
: low
Changes associated with usage of a pneumatic anti-shock garment (PASG)
Increased arterial BP
Increased systemic vascular resistance
Immobilization of pelvis & lower extremities
Increased intra-abdominal pressure
PASG
indications
Hypoperfusion w/ unstable pelvis
Decreased systemic vascular resistance
PASG
contraindications
Pregnancy
Impaled abdominal or evisceration injury
Ruptured diaphragm
Cardiogenic shock
Pulmonary edema
Subdural hematoma
A collection of blood on the surface of the brain
Trauma pt's w/ unexplained shock should be assumed to have:
Intrabdominal hemorrhage
(retroperitoneal space)
Cushing's triad is a sign of
Increased intracranial pressure
Hypertension (high BP)
Bradycardia (slow HR)
Widening pulse pressure
Cushing's triad
Hypertension
Bradycardia
Bradypnea
Hyperthermia
Cushing's reflex
Poor perfusion to the brain
Cushing's reflex
Author
readyreg29
ID
284879
Card Set
Trauma
Description
Trauma
Updated
10/6/2014, 3:57:05 AM
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