Hs & Ts:
List the Ts - - Tension Pneumo
- Toxin
- Tamponade
- Trauma
- Thrombosis (Pulmonary & Cardiac)
(Tense Toxic Tampon Trauma / Thrombosis
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CO = ?
(Cardiac Output)
*What's the Equation? - SV X HR
(Stroke Volume X Heart Rate)
Define SV (Stroke Volume) - The Volume of Blood Pumped per Heart Beat
Define CO - The Volume of Blood Pumped per Minute
Increased HR = ?CO - Decreased CO
The Most Common Cause of Cardiogenic Shock is What? - MI
CO / AKA? - Cardiac Output
SV / AKA? - Stroke Volume
What is often the First S/S of Decreased CO? - Orthostatic Hypotension
What is a S/S of Decreased CO? - Decreased Urinary Output
What is a S/S of Decreased CO? - Decreased Peristalsis
What is a S/S of Decreased CO? - Constipation
What are two S/S of Decreased CO? - Hypotension & Tachycardia
Decreased Hbg / Hct Results in _____ CO. - Increased CO
Redness / AKA? - Rubor
Swelling / AKA? - Tumor
Heat / AKA? - CalorPain / AKA? - Dolor
SIRS / AKA? - Systemic Inflammatory Response Syndrome
What is SIRS? - Uncontrolled, Acute Inflammatory Response in Multiple Organs
MODS / AKA? - Multiple Organ Dysfunction Syndrome
MOF / AKA? - Multiple Organ Failure
SIRS is Commonly Caused by what? - Trauma
Ischemia
Pancreatitis
Hemorrhagic Shock
Infection
Transfusion (Massive Transfusion)
(TIP - HIT)
How many Cardinal Signs Will be Present w/ SIRS? - 2+
What are the Cardinal Signs of SIRS? - - T > 38C / 100.4F or < 36C / 96.8F
- P > 90
- WBC > 12,000 or > 10% Band Cells
- RR > 20 or PCO2 < 32
What are the 3 Main Categories of Shock? - - Hypovolemic
- Cardiogenic
- Distributive
Subcategories of Distributive Shock are? - - Neurogenic
- Septic
- Anaphylactic
What are the 4 Phases of Shock?
(In Order) - - Initial
- Compensatory
- Progressive
- Refractory
The Initial Stage of Shock is Marked By what? - Decreased CO & Impaired Perfusion
What are some S/S of the Initial Stage of Shock? - - Lactic Acid Formation
- WeaknessWhat Occurs during the Compensatory Stage of Shock? - - Blood Shifted to Ma [Show Less]