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Cha 2 Exam 5: Shock Exam Study Guide.

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©THEBRIGHT EXAM STUDY SOLUTIONS 8/26/2024 11:32 AM Cha 2 Exam 5: Shock Exam Study Guide. Adequate Perfusion Requires: - answer- Working pump (heart) - Working vascular system - Adequate blood supply Body's Response to Stress - answer- Inflammatory response + coagulation pathway - CNS stimulation - SNS stimulation - RAAS stimulation - Release of pituitary hormones Shock - answerA complex syndrome characterized by decreased tissue perfusion and impaired cellular metabolism Shock (what happens) - answerImbalance of oxygen and nutrient supply to cells leads to hypoxia and accumulation of metabolic wastes - cells die Oxygenation and Perfusion - answerDepend on: effective gas exchange, total blood volume, CO, size/integrity of capillary bed Shock (some causes) - answerInfection, CVD, Neuro injury, burns, trauma, anephylaxis, surgery, inflammation, hemorrhage Risk for Shock - answerAge (young/old), malnourished, smoking, alcohol/drug abuse, altered fluid volume status, some medications, chronic illness (DM II, COPD, GI ulcers, cancer, etc.), surgery, invasive procedures, altered skin integrity, allergy, immunosuppressants, risk for trauma or hemorrhage 4 phases of Shock - answer1: Initial 2: Non-progressive (compensatory) 3: Progressive 4: Refractory

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©THEBRIGHT EXAM STUDY SOLUTIONS 8/26/2024 11:32 AM




Cha 2 Exam 5: Shock Exam Study Guide.

Adequate Perfusion Requires: - answer✔✔- Working pump (heart)
- Working vascular system
- Adequate blood supply

Body's Response to Stress - answer✔✔- Inflammatory response + coagulation pathway
- CNS stimulation
- SNS stimulation
- RAAS stimulation
- Release of pituitary hormones

Shock - answer✔✔A complex syndrome characterized by decreased tissue perfusion and
impaired cellular metabolism

Shock (what happens) - answer✔✔Imbalance of oxygen and nutrient supply to cells leads to
hypoxia and accumulation of metabolic wastes - cells die

Oxygenation and Perfusion - answer✔✔Depend on: effective gas exchange, total blood volume,
CO, size/integrity of capillary bed

Shock (some causes) - answer✔✔Infection, CVD, Neuro injury, burns, trauma, anephylaxis,
surgery, inflammation, hemorrhage

Risk for Shock - answer✔✔Age (young/old), malnourished, smoking, alcohol/drug abuse,
altered fluid volume status, some medications, chronic illness (DM II, COPD, GI ulcers, cancer,
etc.), surgery, invasive procedures, altered skin integrity, allergy, immunosuppressants, risk for
trauma or hemorrhage

4 phases of Shock - answer✔✔1: Initial
2: Non-progressive (compensatory)
3: Progressive
4: Refractory

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