Chapter 13, The Paramedic by Will Chapleau
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Regardless of cause of shock what is the primary goal? | Preserve Airway, Breathing, Circulation; appropriate resuscitation measures, and transport the patient quickly.
🗑
|
||||
| Regardless of cause of shock what are the primary goals? | Preserve Airway, Breathing, Circulation, Appropriate Resuscitation Measures, and transport the patient quickly.
🗑
|
||||
| 3 Components required for perfusion | 1.Functioning Pump(The Heart)
2.Appropriately sized container(Vascular System)
3. Adequate circulating blood volume with red blood cells capable of carrying oxygen and removing wastes.
🗑
|
||||
| 5 Categories of Shock | 1.Hypovolemic
2.Distributive
3.Cardiogenic
4.Obstructive
5.Metabolic
🗑
|
||||
| Define Shock | State of inadequate tissue perfusion with reduced amounts of oxygen and glucose being delivered to the bodys cells and tissue.
🗑
|
||||
| 3 Stages of Shock | 1.Compensated
2.Decompensated
3.Irreversible
🗑
|
||||
| ABCDE of Shock | A. Airway
B. Breathing
C. Circulation
D. Assuring Adequate Oxygen
E. Achieving End Points.
🗑
|
||||
| Normal End Points of Shock | Normal BP, Heart Rate, and Urine Output
🗑
|
||||
| Define and example Hypovolemic Shock | Due to Inadequate circulating blood volume. Trauma, GI Bleed, Ruptured AAA
🗑
|
||||
| Define and example Distributive Shock | Due to peripheral vasodilation and maldistribution of blood flow. Sepsis, Anaphylaxis, Spinal Cord Injury, Toxic Shock
🗑
|
||||
| Define and example Cardiogenic Shock | Due to inadequate cardiac pump function. AMI, Dysrhythmias, Overdose.
🗑
|
||||
| Define and example Obstructive Shock | due to non-cardiac obstruction to blood flow
Pulmonary Embolism, Cardiac Tamponade
🗑
|
||||
| Metabolic Shock | due to toxic disruption of cellular function. CO, Hydrogen Cyanide and Sulfide Poisoning.
🗑
|
||||
| Cardiac Output Calculation | CO=HR X SV Heart Rate X Stroke Volume
🗑
|
||||
| Blood Pressure Calculation | BP = CO X SVR Cardiac Output X Systemic Vascular Resistance. SVR aka Afterload
🗑
|
||||
| Stroke Volume | Amount of blood pumped with each contraction of left ventricle.
🗑
|
||||
| In the setting of shock, what nervous system overrides the other nervous system. | Sympathetic. Increases heart rate and contractility and causes arterial vasoconstriction to maintain blood flow to vital organs.
🗑
|
||||
| Urinary System Response in Shock. | Renin, Released from the kidneys and functions as an enzyme that converts angiotension.
🗑
|
||||
| Endocrine System Response. | Glucagon, released from pancreas serves to increase blood glucose.
🗑
|
||||
| Failure of two or more organs | Multiple System Organ Failure
🗑
|
||||
| Positive test of Orthos. | Increase HR of 30 BPM or More
Decrease of systolic BP by 20 mmHg or more.
🗑
|
||||
| Endpoint of Oxygen and ventilatory support. | Pulse Ox above 93-95%
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
SullenFF
Popular Paramedic/EMT sets