Advanced Trauma Care for Nurses- Shock Review Questions and Answers

What is the first step in managing shock in trauma patients?The first step in managing shock in trauma patients is to recognize it. Define ShockAn abnormality of the circulatory system that results in inadequate oxygen perfusion and tissue oxygenation. List the second step in managing shockIs to identify the probable cause of shock and adjust treatment accordingly. List the four type of shock?Cardiogenic Shock Obstructive Shock Neurogenic Shock Septic shock Cardiogenic Shock caused by?(Caused by blunt cardiac injury) Suspect blunt cardiac injury when the mechanism of injury to the thorax involves rapid deceleration. List three causes of Cardiogenic shockCardiac Tamponade Is most commonly encountered in patients with penetrating thoracic trauma, it can result from blunt injury to the thorax 1. Tachycardia 2. Muffled heart sounds 3. Dilated / engorged neck veins with hypotension and insufficient response to fluid therapy suggest cardiac tamponade Air Embolism Myocardial Infarction Obstructive Shock - Consider these diagnosis with injuries above the diaphragmTension Pneumothorax - reduces venous return resulting in Obstructive shock I. Acute Respiratory Distress II. Sub - Q emphysema III. Absent Unilateral breath Sounds IV. Hyper resonance to percussion V. Tracheal Shift