chap 12 objectives Word Scramble
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| Question | Answer |
| Describe the pathophysiology of shock | If body cannot maintain homeostasis when there is inadequate perfusion |
| Identify the 3 causes of shock | Pump failure- cardiogenic shock and obstructive shock Poor Vessel Function- distributive shock Low Fluid volume- Hypovolemic shock |
| describe the signs and symptoms of decompensated shock and causes | S&S: Falling BP, Labored/irregular breathing, ashen/cyanotic shock, thready/absent pulse, dilated pupils, poor urinary output Causes: late stage of shock when BP drops |
| describe the signs and symptoms of compensated shock and causes | S&S: agitation, anxiety, restlessness, AMS, weak/thready pulse, clammy skin, pallor(cyanosis), nausea/vomiting Causes: Early stages of shock; body can still compensate for blood loss |
| describe the key components of Pt assessment for shock | Scene size-up primary assessment- rapid exam- killer search (bleeding, then airway) Hx taking- SAMPLE if able to provide info Secondary- focused exam reassessment- vital signs every 5 mins |
| Steps to follow for care of Cardiogenic shock | position comfortable, admin high-flow 02, assist ventilations, transport promptly |
| Steps to follow for care of obstructive shock | ALS assist and/or rapid transport, admin high-flow 02 |
| Steps to follow for care of septic shock | Transport promptly, admin high-flow 02, assist ventilations, keep Pt warm |
| Steps to follow for care of neurogenic shock | secure airway, spinal immobilization, assist ventilations, admin high-flow 02, preserve body heat, transport promptly |
| Steps to follow for care of anaphylactic shock | manage the airway, assist ventilations, admin high-flow 02, determine cause, assist with admin of epinephrine, consider ALS, transport promptly |
| Steps to follow for care of psychogenic shock | determine duration of unconsciousness, Place supine, record vital signs and mental status, suspect head injury, transport promtly |
| Steps to follow for care of Hypovolemic shock | secure airway, assist ventilations, admin high flow 02, control external bleeding, keep warm, transport immediately |
| describe the signs and symptoms of Hypovolemic shock and causes | S&S: Rapid/weak pulse, low BP, change in mental status, cyanosis, clammy skin, increased resp. rate causes: blood or fluid loss |
| describe the signs and symptoms of psychogenic shock and causes | S&S: rapid pulse, normal or low BP Causes: temporary vascular dilation, anxiety/traumatic event |
| describe the signs and symptoms of anaphylactic shock and causes | S&S: mild itching/rash, burning skin, vascular dilation, generalized edema, coma, rapid death Causes: life-threatening allergic reaction |
| describe the signs and symptoms of neurogenic shock and causes | S&S: Bradycardia, Low BP, Signs of Neck Injury Causes: damaged cervical spine- causes widespread blood vessel dilation |
| describe the signs and symptoms of septic shock and causes | S&S: warm skin/fever, tachycardia, low BP causes: sever bacterial infection |
| describe the signs and symptoms of distributive shock and causes | S&S: Septic shock, neurogenic shock, anaphylactic shock, psychogenic shock Causes- widespread dilation of arterioles/venules, blood pools in vascular beds and tissue perfusion decreases |
| describe the signs and symptoms of obstructive shock and causes | S&S: dyspnea, rapid/weak pulse, rapid/shallow breaths, decreased lung sounds, decreased BP, jugular vein distention, subcutaneous emphysema, cyanosis Causes: cardiac tamponade, tension pneumothorax, pulmonary embolism |
| describe the signs and symptoms of cardiogenic shock and causes | S&S: chest pain, irregular/weak pulse, low BP, cyanosis, clammy skin, anxiety, crackles (rales), pulmonary edema Causes: inadequate heart function, disease of muscle tissue, impaired electrical system, disease or injury |
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emt2023bucher
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