pathologic pain
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Occurs after tissue injury
Long term changes occur in PNS and CNS
Pain sensation enhanced
Pain perception serves no benefit for learning or survival
Neuropathic pain
Fibromyalgia
Chronic pain syndromes
ARDs
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, acute respiratory distress syndrome
respiratory failure
most commonly associated with septic shock
refractory hypoxemia
decreased pulmonary compliance
pulmonary edema
mortality 60-90%
tissue ischemia
-inflammatory response
--exudate in interstitial space
--alveolar collapse [atelectasis]
increased intracranial pressure etiology
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pressure exerted by contents of the cranium
normal is 0-15 mm Hg
common causes of increased ICP: stroke, trauma, tumors
volume of the cranium is made of: CSF, blood, and brain tissue.
compliance is the ability to accommodate changes in volume without
significant increases in pressure
obstructive shock manifestations/treatment
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right sided heart failure
pulmonary embolism
-sudden, severe dyspnea
-abnormal ABG
cardiac tamponade
-accumulation of fluid in sac
-pericardial friction rub tension pneumothorax
-compression of heart
, -deviated trachea
-absent breath sounds
treat underlying cause
MODS
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multiple organ dysfunction syndrome
two or more systems
sepsis and septic shock most common
ongoing inflammatory response
-tissue destruction
-organ dysfunction
--5 or more systems = 100% mortality
death
metabolic syndrome
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elevated circulating insulin and lipids
HTN
abdominal obesity
predictive of developing diabetes, bigger complications like strokes and
heart attacks
breast screening guildelines
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, women 20+ SBE
20-30 CBE every 3
40 begin annual mammography
hemorrhagic stroke
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within brain parenchyma
severe hypertension
increased intracranial pressure
much higher mortality - more younger people [cocaine], death may occur
in minutes to hours
treatment:
stabilize airway, respiratory and cardiac
medications for BP
treat ICP much like TBI
amyotrophic lateral sclerosis (ALS) lou gehrig disease manifestations
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muscle weakness
atrophy- hyperreflexia in a weak, atrophied extremity [highly indicative]
twitching
cramping
stiffness
upper extremities affected first [muscle controlling speech, swallowing,
and respirations]a
die from respiratory failure 3 to 5 years
cognitive functions remain intact
Give this one a try later!
Occurs after tissue injury
Long term changes occur in PNS and CNS
Pain sensation enhanced
Pain perception serves no benefit for learning or survival
Neuropathic pain
Fibromyalgia
Chronic pain syndromes
ARDs
Give this one a try later!
, acute respiratory distress syndrome
respiratory failure
most commonly associated with septic shock
refractory hypoxemia
decreased pulmonary compliance
pulmonary edema
mortality 60-90%
tissue ischemia
-inflammatory response
--exudate in interstitial space
--alveolar collapse [atelectasis]
increased intracranial pressure etiology
Give this one a try later!
pressure exerted by contents of the cranium
normal is 0-15 mm Hg
common causes of increased ICP: stroke, trauma, tumors
volume of the cranium is made of: CSF, blood, and brain tissue.
compliance is the ability to accommodate changes in volume without
significant increases in pressure
obstructive shock manifestations/treatment
Give this one a try later!
right sided heart failure
pulmonary embolism
-sudden, severe dyspnea
-abnormal ABG
cardiac tamponade
-accumulation of fluid in sac
-pericardial friction rub tension pneumothorax
-compression of heart
, -deviated trachea
-absent breath sounds
treat underlying cause
MODS
Give this one a try later!
multiple organ dysfunction syndrome
two or more systems
sepsis and septic shock most common
ongoing inflammatory response
-tissue destruction
-organ dysfunction
--5 or more systems = 100% mortality
death
metabolic syndrome
Give this one a try later!
elevated circulating insulin and lipids
HTN
abdominal obesity
predictive of developing diabetes, bigger complications like strokes and
heart attacks
breast screening guildelines
Give this one a try later!
, women 20+ SBE
20-30 CBE every 3
40 begin annual mammography
hemorrhagic stroke
Give this one a try later!
within brain parenchyma
severe hypertension
increased intracranial pressure
much higher mortality - more younger people [cocaine], death may occur
in minutes to hours
treatment:
stabilize airway, respiratory and cardiac
medications for BP
treat ICP much like TBI
amyotrophic lateral sclerosis (ALS) lou gehrig disease manifestations
Give this one a try later!
muscle weakness
atrophy- hyperreflexia in a weak, atrophied extremity [highly indicative]
twitching
cramping
stiffness
upper extremities affected first [muscle controlling speech, swallowing,
and respirations]a
die from respiratory failure 3 to 5 years
cognitive functions remain intact