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shock
hypovolemic shock
| Question | Answer |
|---|---|
| what are some causes of hypovolemic shock? | hemmorrhage, trauma , burns |
| in order for see some marked changes in v/s, what percent amount of blood need to be lost? | 40% |
| with hypovolemic shock is there a problem with preload | yes |
| Gi problems(vomiting,diarrhea, intestinal fistula), adrenal insufficiency, and diabetic coma may all cause _____________ therefore leading to hypovolemic shock. | dehydration |
| what are the Stages of Hypovolemic shock and what is happening in each one? | Non progressive(patient is compensating blood is shunted to heart and brain) progressive( compensatory fail unable to perfuse heart and brain NEED INTERVENTION) Refractory ( profound hypotension unresponsive to treatment, irreversable stage) |
| when is Permissive hypotension or hypotensive resucitation? | patient that are going to surgury, need to keep bp @80-90 |
| permissive hypotension is NOT used on which type of patient?why? | closed head injuries. becouse need to have adequate cerebral pressure in order to maintain cerebral perfussion. |
| In permissive hypotension, aggressive fluid resucition may lead to__________ | hemodilution and disruption of normal coagulation factors which cause further bleeding. |
| for a Patient in hypovolemic shock while on fluid replacement, assessment should be done every___________ | 5-15 min |
| what are some outcome criteria that may tell us patient has adequate perfussion? | alert and oriented, urine output > 30ml/hr, warm extremities, clear lung sounds, hr normal |
| what is the ratio we use for patient that needs fluid replacement? | 3:1 ratio |
| when doing fluid replacement we monitor closely our patient with what type of health problem? | HF, Renal disease and elderly |
| what are two types of colloids | albumin, fresh frozen plasma |
| vasopressors are only given to patients in hypovolemic shock when there is ____________________ | adequate fluid replacement |
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