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PALS 2024 Shock Exam Questions With Verified Answers.

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PALS 2024 Shock Exam Questions With Verified Answers. Shock - answerShock is defined as a physiologic state characterized by inadequate tissue perfusion to meet metabolic demand and tissue oxygenation. metabolic demand - answerwhat cardiac output is normally equal to How can shock be character...

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  • October 2, 2024
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PALS 2024 Shock Exam Questions With
Verified Answers.


Shock - answer✔Shock is defined as a physiologic state characterized by inadequate tissue
perfusion to meet metabolic demand and tissue oxygenation.

metabolic demand - answer✔what cardiac output is normally equal to

How can shock be characterized? - answer✔By inadequate peripheral and end organ perfusion.
Also it can be characterized by low cardiac output and decreased level of consciousness.

What types of shock can cause a high cardiac output? - answer✔Shock thats caused by sepsis or
anaphylaxis cardiac out put can be high

All types of shock can do what to organs? - answer✔Can result in impared function of vital
organs such as the brain (Decreased level of consciousness) and kidneys ( Low urine output and
ineffective filtering)

What will occur if adequate o2 delivery to the tissues is not maintained? - answer✔Organ
dysfunction

What are the major functions of the cardiopulmonary system? - answer✔Delivers oxygen to
body tissues


Removes metabolic by products of cellular metabolism

Tissue hypoxia - answer✔This is present when a region of the body or an organ is deprived of
adequate O2 supply.

What does cardiac output determine and vascular resistance determine? - answer✔Determines
adequate blood flow to the tissues

Cardiac output - answer✔The volume of blood pumped by the heart per minute is the product of
stroke volume and heart rate

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Cardia output=Stroke volume X Heart Rate

Stroke volume - answer✔The volume of blood pumped by the ventricles with each contraction

Cardia output=Stroke volume X Heart Rate - answer✔According to this formula if the heart rate
decreases, stroke volume must increase commensurately to maintain the cardiac output.

How can cardiac output increase? - answer✔By an increase in heart rate, in stroke volume or
both

What are the limits of increased cardia output produced by increasing heart rate? - answer✔If the
rate is too fast, as can happen with tachyarrhythmias, stroke volume can fall bc there is
inadequate time to fill the heart.

As shock develops, compensatory mechanisms attempt to? - answer✔Attempt to maintain O2
delivery to vital organs

vasoconstriction - answer✔the constriction of blood vessels, which increases blood pressure.

Name the compensatory mechanisms - answer✔Tachycardia


Increased systemic vascular resistance (SVR) (vasoconstriction)


Increased strength of cardiac contraction (Contractility)


Increase in venous smooth muscle tone

The body's first action to maintain cardiac output is to? - answer✔Is to increase heart rate, or
tachycardia, which can increase cardiac output to a limited degree

When O2 delivery to the tissues is compromised what happens? - answer✔Blood flow is
redirected or shunted from nonvital organs and tissues ( like skin, skeletal muscles, gut, kidneys)
to vital organs like brain, heart

What is another mechanism to maintain stroke volume and cardiac output? - answer✔Is
increased strength of cardiac contractions, or contractility, with more complete emptying of the
ventricles

What else can support stroke volume? - answer✔Can be supported by increased venous smooth
muscle tone, improving venous return to the heart and preload

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