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Hemorrhage/shock

QuestionAnswer
Homeostasis Tendency of the body to maintain a steady or normal environment.
Shock Inadequate tissue perfusion. Transition between homeostasis and death.
Capillary Slow. Ooze.
Venous Steady blood flow
Arterial Spurting blood.
3 step clotting process 1) vascular phase-vasoconstriction. Reduces blood loss 2)platelet phase-aggulation and aggregation 3)coagulation phase-fibrin release.
Treatment of external hemorrhage General management. Direct pressure. Elevation. Tourniquet. (Over 12 hrs release may send toxins to the heart)
Hematoma Pocket of blood between muscle and fascia.
Unexplained shock is best attributed to...? Abdominal trauma
Hemoptysis Coughing up blood. (Possibly esophageal varices)
Melena Blood in stool
Fluids disrupt clotting. Only use fluids to maintain a BP of??? 90 systolic
Stages of shock Compensated-minimal change. Early sign dry mouth. Decompensated-system beginning to fail. Late sign BP drops. Irreversible-ischemia and death imminent.
Types of shock Hypovolemic- loss of blood volume. Distributive-prevents distribution of nutrients and removal of wastes. Anaphylactic-septic and hypoglycemic Obstructive-interfere with blood flowing thru cardiovascular sys. (Tamponade. PE. Tension pneumo.
Shock management A&B. ET. Control bleeding. Large bore IV's just to stabilize vitals. Keep warm. PASG. Pharmacology ONLY after fluid resuscitation.
Cardiogenic shock management Fluids. Vasopressors. (Dopamine). Cardiac drugs (Epi. Atropine)
Spinal and obstructive shock management IV resuscitation. NS and LR.
Distributive shock management IV resuscitation. Dopamine. PASG.
Created by: Mistymedic
 

 



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