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Bleeding/Shock

  1. What are the 3 elements of Adequate Perfusion?
    • Heart
    • Blood
    • Vessels
  2. In adequate perfusion the heart acts as a
    Pump
  3. In adequate perfusion the Blood acts as a?
    Fluid
  4. In adequate perfusion the Vessels act as a?
    Container
  5. Simply, what is Shock?
    Inadequate Tissue Perfusion
  6. What are 2 items in a sympathetic response?
    • "Fight or Flight"
    • Release of Epinephrine and Norepinephrine
  7. What happens to your Mental status during shock?
    Anxious
  8. What happens to your Heart during shock?
    Increased Rate
  9. What happens to your Bronchi during shock?
    Dialation
  10. What happens to your Skin Vessels during shock?
    Constriction
  11. What happens to your Sweat during shock?
    Increases
  12. What happens to your Pupils during shock?
    Dilate
  13. What happens to your Digestion during shock?
    Decreases
  14. What happens to your Liver during shock?
    Releases stores of sugar
  15. What happens to your Adrenal Medulla
    Increased EPI
  16. 3 Types of Shock?
    • Hypovolemic
    • Cardiogenic
    • Neurogenic
  17. Hypovolemic Shock is?
    When fluids are lost during bleeding/hemmorhaging
  18. What is the "Golden Hour"
    When a patient needs to be in surgery. Ideally, 1 hour from incident occurance
  19. What is the "Platinum 10 minutes"
    Ideally, having the patient transporting in 10 minutes
  20. What is Cardiogenic Shock?
    When the heart is not pumping effectively. IE: Myocardial Infarction & CHF
  21. What is Neurogenic Shock?
    Caused by uncontrolled vasodialation of the blood vessels
  22. What causes Neurogenic Shock?
    • Spinal Cord Injuries
    • Anaphylaxis
    • Sepsis
    • Psychogenic
  23. What does CRASH-N-PM stand for?
    • Cardiogenic
    • Respiratory
    • Anaphylactic
    • Septic
    • Hypovolemic
    • Neurogenic
    • Psychogenic
    • Metabolic
  24. What are some signs and symptoms of shock?
    • Altered Mental Status
    • Increased heart rate
    • Pale, Cool & Diophoretic
    • Pupils Dilate
    • Decreased BP
  25. What are some signs of Early Shock
    • LOC changes
    • Decreased Cap Refill
    • Slight Tachycardia
    • Increased Respiratory rate
  26. In Early Shock how much blood is lost?
    1-2 Pints (15-20% loss)
  27. What are signs of Late Shock?
    • Weak respiratory rate
    • Skin changes and thirst
    • Thready Pulse and Nausea
    • Drop in BP
  28. How much blood is lost in Late Shock
    3-5 Pints (30-50%)
  29. Average Person has how much blood in them?
    5-6 liters (10-12 pints)
  30. WHat is the coversion rate for pints to liters?
    2 pints = 1 Liter
  31. If an Adult loses _______cc it may be serious
    1000cc (1 liter)
  32. If a child loses _____cc of blood it may be serious
    500cc (.5 liter)
  33. If an infant losses _____cc of blood it may be serious
    150cc
  34. What are the 3 types of external bleeding?
    • Arterial
    • Venous
    • Capillary
  35. What is the furthest you should put a TK on a patient
    no more then 2 inches from site
Author
castelojl
ID
138379
Card Set
Bleeding/Shock
Description
Bleeding/Shock
Updated

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