Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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Homeostasis | Tendency of the body to maintain a steady or normal environment.
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Shock | Inadequate tissue perfusion. Transition between homeostasis and death.
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Capillary | Slow. Ooze.
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Venous | Steady blood flow
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Arterial | Spurting blood.
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3 step clotting process | 1) vascular phase-vasoconstriction. Reduces blood loss
2)platelet phase-aggulation and aggregation
3)coagulation phase-fibrin release.
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Treatment of external hemorrhage | General management. Direct pressure. Elevation. Tourniquet. (Over 12 hrs release may send toxins to the heart)
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Hematoma | Pocket of blood between muscle and fascia.
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Unexplained shock is best attributed to...? | Abdominal trauma
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Hemoptysis | Coughing up blood. (Possibly esophageal varices)
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Melena | Blood in stool
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Fluids disrupt clotting. Only use fluids to maintain a BP of??? | 90 systolic
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Stages of shock | Compensated-minimal change. Early sign dry mouth.
Decompensated-system beginning to fail. Late sign BP drops.
Irreversible-ischemia and death imminent.
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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.
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Shock management | A&B. ET. Control bleeding. Large bore IV's just to stabilize vitals. Keep warm. PASG. Pharmacology ONLY after fluid resuscitation.
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Cardiogenic shock management | Fluids. Vasopressors. (Dopamine). Cardiac drugs (Epi. Atropine)
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Spinal and obstructive shock management | IV resuscitation. NS and LR.
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Distributive shock management | IV resuscitation. Dopamine. PASG.
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