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Cha 2 Exam 5: Shock Study Guide with Complete Solutions
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Cha 2 Exam 5: Shock Study Guide with Complete Solutions Adequate Perfusion Requires: - Answer️️ -- Working pump (heart) - Working vascular system - Adequate blood supply Body's Response to Stress - Answer️️ -- Inflammatory response + coagulation pathway - CNS stimulation - SNS stimu...

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  • August 29, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
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  • cha 2 exam 5 shock study guide with complete solu

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©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM


Cha 2 Exam 5: Shock Study Guide with
Complete Solutions

Adequate Perfusion Requires: - Answer✔️✔️-- Working pump (heart)

- Working vascular system

- Adequate blood supply

Body's Response to Stress - Answer✔️✔️-- Inflammatory response +
coagulation pathway

- CNS stimulation

- SNS stimulation

- RAAS stimulation

- Release of pituitary hormones

Shock - Answer✔️✔️-A complex syndrome characterized by decreased
tissue perfusion and impaired cellular metabolism

Shock (what happens) - Answer✔️✔️-Imbalance of oxygen and nutrient
supply to cells leads to hypoxia and accumulation of metabolic wastes -
cells die

Oxygenation and Perfusion - Answer✔️✔️-Depend on: effective gas
exchange, total blood volume, CO, size/integrity of capillary bed




1

, ©SOPHIABENNETT@2024-2025 Sunday, August 25, 2024 2:42 PM

Shock (some causes) - Answer✔️✔️-Infection, CVD, Neuro injury, burns,
trauma, anephylaxis, surgery, inflammation, hemorrhage

Risk for Shock - Answer✔️✔️-Age (young/old), malnourished, smoking,
alcohol/drug abuse, altered fluid volume status, some medications,
chronic illness (DM II, COPD, GI ulcers, cancer, etc.), surgery, invasive
procedures, altered skin integrity, allergy, immunosuppressants, risk for
trauma or hemorrhage

4 phases of Shock - Answer✔️✔️-1: Initial

2: Non-progressive (compensatory)

3: Progressive

4: Refractory

Stage 1: Initial stage - Answer✔️✔️-signs may not be apparent, lack of
oxygen leads to anaerobic metabolism, increase in lactic acid levels,
adequate compensation

Stage 2: Non-Progressive (Compensatory) Stage - Answer✔️✔️-
Compensation from SNS, RAAS, ADH secretion

S/S: restlessness, skin may be flush (fever) or cool & clammy, tachycardia,
RR up, bowel sounds reduced, BP unchanged MAP mild decrease

Stage 3: Progressive Stage - Answer✔️✔️-Compensation begins to fail,
massive SNS release,

*decreased perfusion



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