Shock Cards

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  1. Definitions of sepsis:
    SIRS plus source of infection
  2. Definition of SIRS:
    • 1. Tm>38 (or<36)
    • 2. HR>90
    • 3. RR>20
    • 4. WBC>12,000 (or<4,000)
  3. Beck's Triad:
    • 1. Hypotension
    • 2. Decreased heart sounds
    • 3. Jugular venous distension

    These are sings of cardiac tamponade
  4. Class I shock (blood loss, HR, BP, UO, CNS)
    • Class I:
    • Blood loss: <15% (<750)
    • HR: <100
    • BP: normal
    • UO: >30/h
    • CNS: normal
  5. Class II shock (blood loss, HR, BP, UO, CNS)
    • Class II:
    • Blood loss: 15-30% (<750-1,500)
    • HR: >100
    • BP: normal
    • UO: 20-30/h
    • CNS: anxious
  6. Class III shock (blood loss, HR, BP, UO, CNS)
    • Class III:
    • Blood loss: <30-40% (<1,500-2,000)
    • HR: >120
    • BP: decreased
    • UO: 5-15/h
    • CNS: confused
  7. Class IV shock (blood loss, HR, BP, UO, CNS)
    • Class IV:
    • Blood loss: >40% (>2,000)
    • HR: >140
    • BP: decreased
    • UO: 0/h
    • CNS: lethargic
  8. Consider running this test in a critically ill patient who is hypotnensive and refractory to high dose steroids.
    Check serum cortisol levels (rule out adrenal shock)
  9. Name that shock:
    CVP: low
    CO: low
    SVR: high
    SvO2: low
    • Hypovolemic shock:
    • CVP: low
    • CO: low
    • SVR: high
    • SvO2: low
  10. Name that shock:
    CVP: high
    CO: low
    SVR: high
    SvO2: low
    • Cardiogenic:
    • CVP: high
    • CO: low
    • SVR: high
    • SvO2: low
  11. Name that shock:
    CVP: high/low
    CO: high
    SVR: low
    SvO2: high
    • Hyperdynamic Septic Shock
    • CVP: high/low
    • CO: high
    • SVR: low
    • SvO2: high
  12. Name that shock:
    CVP: low
    CO: low
    SVR: low
    SvO2: low
    • Neurogenic Shock:
    • CVP: low
    • CO: low
    • SVR: low
    • SvO2: low
  13. Name that shock:
    CVP: high/low
    CO: low
    SVR: high
    SvO2: high/low
    • Hypodynamic Septic Shock:
    • CVP: high/low
    • CO: low
    • SVR: high
    • SvO2: high/low
  14. At what level of vertebrae would spinal cord transection cause neurogenic shock?
    "Above 4th thoracic 4 neurogenic"

Card Set Information

Author:
 RCulwell
ID:
 93167
Filename:
 Shock Cards
Updated:
2011-07-07 01:00:58
Tags:
shock ABSITE
Folders:

Description:
Some basic questions on shock in its various forms.
Show Answers:

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