Exam (elaborations)
ATCN Chapter 3 Shock (2024) – Questions/Answers
- Course
- Institution
ATCN Chapter 3 Shock (2024) – Questions/Answers
[Show more]
Seller
Follow
Studyhall
Reviews received
Content preview
ATCN Chapter 3 Shock (2024) – Questions/AnswersWhat is the first step in managing shock in trauma patients? ✔️Ans -The
first step in managing shock in trauma patients is to recognize it.
Define Shock ✔️Ans -An abnormality of the circulatory system that results
in inadequate oxygen perfusion and tissue oxygenation.
List the second step in managing shock ✔️Ans -Is to identify the probable
cause of shock and adjust treatment accordingly.
List the four type of shock? ✔️Ans -Cardiogenic Shock
Obstructive Shock
Neurogenic Shock
Septic shock
Cardiogenic Shock caused by? ✔️Ans -(Caused by blunt cardiac injury)
Suspect blunt cardiac injury when the mechanism of injury to the thorax
involves rapid deceleration.
List three causes of Cardiogenic shock ✔️Ans -Cardiac Tamponade
Is most commonly encountered in patients with penetrating thoracic trauma,
it can result from blunt injury to the thorax
1. Tachycardia
2. Muffled heart sounds
3. Dilated / engorged neck veins with hypotension and insufficient response
to fluid therapy suggest cardiac tamponade
Air Embolism
Myocardial Infarction
Obstructive Shock - Consider these diagnosis with injuries above the
diaphragm ✔️Ans -Tension Pneumothorax - reduces venous return
resulting in Obstructive shock
I. Acute Respiratory Distress
II. Sub - Q emphysema
III. Absent Unilateral breath Sounds
IV. Hyper resonance to percussion
V. Tracheal Shift
, Cardiac Tamponade - blood in the pericardial sac inhibits cardiac contractility
Neurogenic shock - list potential causes ✔️Ans -A. Injury to the cervical or
thoracic spinal cord resulting in loss of sympathetic tone and subsequent
vasodilation
B. Isolated intracranial injuries do not cause shock, unless the brain stem is
required
C. The classic presentation of neurogenic shock is hypotension without
tachycardia or cutaneous vasoconstriction.
D. The failure of fluid resuscitation to restore organ perfusion and tissue
oxygenation suggests either continuing hemorrhage or neurogenic shock
Septic Shock - Define ✔️Ans -Patients with early septic shock can have
normal circulation volume, modest tachycardia, warm skin, near normal
systolic blood pressure, and wide pulse pressure.
In which group of patients, may be the underlying reason or precipitating
cause of traumatic injury be be an unrecognized infection, commonly a
urinary tract infection. ✔️Ans -In Elderly, the underlying reason or
precipitating cause of traumatic injury be be an unrecognized infection,
commonly a urinary tract infection.
____________________________ is the most common cause of shock in trauma
patients ✔️Ans -Hemorrhage
Cardiac Output is comprised of what two things? ✔️Ans -Cardiac Output =
Heart rate x stroke volume
Stroke Volume is classically determined by: ✔️Ans -Preload, myocardial
contractility, and afterload
Define Preload - ✔️Ans -Is the filling of the ventricles, volume of venous
blood returning to the left and right side fo the heart, is determined by venous
capacitance, volume status, and the difference between mean venous systemic
pressure and right arterial pressure.
Nearly __________________% of the bodies total blood volume is estimated to be in
the venous circuit ✔️Ans -70% of the blood volume
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
84866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now