| A | B |
|---|
| The three types of distributive shock are... | neurogenic, septic, and anaphylactic |
| This type of shock is the loss of sympathetic tone and can be caused by spinal cord injuries above T4-T6, brain injury, hypoxia, and lack of glucose or excessive insulin to name a few... | neurogenic |
| List the symptoms of neurogenic shock... | vasodilation, gluconeogenesis, dry skin, bradycardia, decreased contractility, decreased automaticity, bradypnea, and bronchoconstriction |
| Treatment of the hypovolemia for neurogenic shock includes... | 1-2 liters of fluid bolus and consideration of vasoconstrictors such as phenylnephrine (Neo-Synephrine) |
| This should be given in neurogenic shock for bradycardia... | Atropine |
| The two states of septic shock are... | hyperdynamic sepsis and hypodynamic sepsis |
| Mentation in hyperdynamic sepsis... | malaise, not feeling well, tiredness, restlessness |
| Mentation in hypodynamic sepsis... | Decreasing LOC, stupor and coma |
| Cutaneous manifestations in hyperdynamic sepsis... | Warm, flushed, dry |
| Cutaneous manifestations in hypodynamic sepsis... | Cold, clammy, pale, mottled |
| Heart rate in hyperdynamic sepsis... | tachycardia with full, bounding pulse |
| Heart rate in hypodynamic sepsis... | tachycardia with weak, thready pulse |
| Respiratory rate in hyperdynamic sepsis... | >20/min |
| Respiratory rate in hypodynamic sepsis... | shallow and tachypneic |
| Urine output in both hyper- and hypodynamic sepsis... | Decreased (may be anuric in hypo) |
| Acid-base values in hyperdynamic sepsis... | respiratory alkalosis |
| Acid-base values in hypodynamic sepsis... | combined metabolic and respiratory acidosis |
| Body temperature in hyperdynamic sepsis... | fever with shaking and chills |
| Body temperature in hypodynamic sepsis... | hypothermic and mottled |
| Treatment options for septic shock... | fluid resuscitation, vasopressors, inotropes, infection source identification, antimicrobial therapy |
| Mild symptoms of anaphylaxis include... | Normal BP, minimal respiratory distress |
| Severe symptoms of anaphylaxis include... | hypotension, respiratory distress |
| Epinephrine dose for mild symptoms of anaphylactic shock... | 0.2-.03 mL of a 1:1,000 solution SQ or IM; repeat every 5-10 minutes as needed |
| Epinephrine dose for severe symptoms of anaphylactic shock... | 0.1-0.5 mL of a 1:10,000 solution IV; repeat every 5-10 minutes as needed |
| Secondary treatments for anaphylatic shock may include... | intubation, surgical airway, fluid boluses |
| Secondary medications for anaphylactic shock may include... | Antihistamines (Benadryl) and Beta-2 agonists (Albuterol), and Corticosteroids |
