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What physiologic problem defines shock? -ANSWER- Inadequate tissue
perfusion resulting in cellular and organ dysfunction
What is the earliest cellular consequence of inadequate tissue
perfusion? -ANSWER- Reduced oxygen delivery causing anaerobic
metabolism
What metabolic product increases when cells rely on anaerobic
metabolism? -ANSWER- Lactic acid
What happens during the compensatory stage of shock? -ANSWER- The
body activates sympathetic and hormonal mechanisms to maintain
perfusion
Which finding commonly indicates sympathetic compensation during
shock? -ANSWER- Tachycardia
What finding suggests shock has progressed beyond effective
compensation? -ANSWER- Persistent hypotension with worsening
organ dysfunction
,What characterizes irreversible shock? -ANSWER- Severe cellular and
organ damage that no longer responds adequately to treatment
What is the primary problem in hypovolemic shock? -ANSWER- Loss of
circulating blood or fluid volume
What is a common cause of hypovolemic shock? -ANSWER- Severe
hemorrhage
What assessment finding is expected with significant hypovolemia? -
ANSWER- Tachycardia with cool, pale skin and decreased urine output
What is the initial priority in hemorrhagic hypovolemic shock? -
ANSWER- Control bleeding and restore circulating volume
What distinguishes cardiogenic shock from hypovolemic shock? -
ANSWER- Cardiogenic shock results from inadequate cardiac pumping
despite circulating volume
What commonly causes cardiogenic shock? -ANSWER- Extensive
myocardial infarction
,What is the primary vascular problem in distributive shock? -ANSWER-
Abnormal widespread vasodilation
Which type of shock can result from severe infection? -ANSWER- Septic
shock
What is the hallmark of anaphylactic shock? -ANSWER- Rapid systemic
hypersensitivity causing vasodilation and airway compromise
What medication is the priority for anaphylactic shock? -ANSWER-
Intramuscular epinephrine
Where should emergency epinephrine be administered for
anaphylaxis? -ANSWER- The outer mid-thigh
What respiratory finding suggests severe anaphylaxis? -ANSWER-
Stridor or severe wheezing
What is obstructive shock caused by? -ANSWER- A physical obstruction
that prevents adequate cardiac filling or output
What condition can produce obstructive shock by compressing the
heart? -ANSWER- Cardiac tamponade
, What is sepsis? -ANSWER- Life-threatening organ dysfunction caused by
a dysregulated response to infection
Why can sepsis produce hypotension? -ANSWER- Widespread
inflammatory vasodilation and capillary leakage reduce effective
circulation
What is MODS? -ANSWER- Progressive dysfunction of multiple organ
systems following severe illness or injury
What is a major consequence of prolonged tissue hypoperfusion? -
ANSWER- Progressive cellular injury and organ dysfunction
What does a complete blood count help evaluate? -ANSWER- Red cells,
white cells, hemoglobin, hematocrit, and platelets
What does hemoglobin primarily determine? -ANSWER- The blood's
oxygen-carrying capacity
What does hematocrit represent? -ANSWER- The percentage of blood
volume occupied by red blood cells
What is iron-deficiency anemia associated with? -ANSWER- Insufficient
iron for normal hemoglobin production