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TCRN - Review 1-25

Complete Review for TCRN including 1500 questions

List the 4 types of shock. Hypovolemic Distributive Cardiogenic Obstructive
Which shock is a "lack of volume"? Hypovolemic Shock
Which shock is a mal-distribution of blood or vasodilation? Distributive Shock
Which shock is due to inadequate cardiac output? Cardiogenic Shock
Which shock is due to the inability of blood to enter or exit the heart adequately? Obstructive Shock
Another term for early hypovolemia is ___. Compensatory
Another term for late hypovolemia is ___. Decompensatory
Sympathetic is the same as ___. Adrenergic
Parasympathetic is the same as ___. Cholinergic
The ___ system is active during the compensatory phase of shock. Adrenergic system
The ___ system is active after the phase of shock has passed to bring the body back to a state of ___. Cholinergic system Homeostasis
What is the process by which glycogen stores in the liver are broken down into glucose? Glycogeonolysis
What is the process in which serum glucose is converted to glycogen for storage in the liver? Glyconeogenesis
What effect do alpha cells have on the adrenergic system? Vasoconstriction Glycogenolysis Diaphoresis
What effect do alpha cells have on the cholinergic system? Vasodilation Glyconeogenesis Dry Skin
What effect do Beta One cells have on the adrenergic system? Increased heart rate Increased contractility Increased automaticity
What effect do Beta One cells have on the cholinergic system? Decreased heart rate Decreased contractility Decreased automaticity
What effect do Beta Two cells have on the adrenergic system? Increased respiratory rate Bronchodilation
What effect do Beta Two cells have on the cholinergic system? Decreased respiratory rate Bronchoconstriction
Late or decompensated shock leads to activation of the inflammatory system which includes what? Vasodilation Increased capillary permeability Increased coagulation
What is the average adult blood volume? 4700-5500 mL
What are the signs of early shock? Normal or slightly elevated blood pressure Narrowing pulse pressure Tachycardia (weak and thready) Tachypnea (deep and rapid) Lactate is normal Skin is cool and clammy CNS symptoms are anxious & restless Urine Output is decreased
What are the signs of late shock? Low blood pressure Tachycardia (may not be palpable) Tachypnea (shallow and rapid) Lactate is >2-4 Skin is cool, clammy and mottled CNS symptoms are decreased level of consciousness Kidney function is anuric.
How much blood can be lost in the pelvis? 3000 mL
How much blood can be lost in the femur? 1000 mL
How much blood can be lost due to a tibial fracture? 650 mL
Created by: AmberKnepp