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Perfusion_ Shock ATI book

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Perfusion_ Shock ATI book

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  • June 19, 2024
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  • 2023/2024
  • Exam (elaborations)
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Perfusion: Shock ATI book
Shock - correct answer-A state of inadequate tissue perfusion that impairs
cellular function and can lead to organ failure

Decreased ability to compensate for shock can cause - correct
answer-Sustained low cardiac output and bp

Cardiogenic shock - correct answer-Failure of the heart to pump effectively
due to a cardiac factor

Hypovolemic shock - correct answer-A decrease in intravascular volume of at
least 15-30%

Obstructive shock - correct answer-Impairment of the heart to pump effectively
as a result of a non cardiac factor

Distributive shock - correct answer-Widespread vasodilation and increased
capillary repermiability. This includes neurogenic, septic, and anaphylactic
shock

Examples of cardiogenic shock - correct answer-Acute Myocardial Infarction
CHF, arrhythmias, cardiomyopathy, myocarditis
Aortic insufficiency, myocardial contusion

Examples of hypovolemic shock - correct answer-hemorrhage, burns, severe
dehydration

Examples of obstructive shock - correct answer-cardiac tamponade and
tension pneumothorax

Examples of distributive shock - correct answer-sepsis, anaphylaxis

Stages of of shock - correct answer-Initial, compensatory (nonprogressive),
progressive, refractory

Initial shock - correct answer-No visible changes in client's parameters, only
changes on cellular level

, Compensatory (non-progressive) shock - correct answer-Measures to
increase cardiac output to restore tissue perfusion and oxygenation (shunting
etc)

Progressive shock - correct answer-Compensatory mechanisms fail
Tissues become hypoxic, cells switch to anaerobic metabolism, lactic acid
builds up, and metabolic acidosis develops

Refractory shock - correct answer-Irreversible shock and total body failure.
Death

How to prevent cardiogenic shock - correct answer-Prevent MI. Exercise, diet,
reduce stress, stop smoking

How to prevent hypovolemic shock - correct answer-Drink plenty of fluids
when in exercising or in hot weather, seek medical help quickly after trauma

Risk factors for cardiogenic shock - correct answer-Cardiac pump failure due
to direct cardiac cause such as
MI
HF
Cardiomyopathy
Dysrhythmias
Valvular ruptures or stenosis

Risk factors for hypovolemic shock - correct answer-Diuresis
Vomiting
Diarrhea
Surgery
Trauma
OB blood loss
Burns
DKA

Risk factors for obstructive shock - correct answer-Cardiac pump failure due
to an indirect cardiac factor such as blockage of great vessels, in pulmonary
artery stenosis, PE, cardiac tamponade, tension pneumothorax, aortic
dissection

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