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inadequate oxygen delivery to meet metabolic demands - 🧠 ANSWER ✔✔shock
syndrome characterized by decreased tissue perfusion and impaired cellular
metabolism - 🧠 ANSWER ✔✔shock
what does shock result in - 🧠 ANSWER ✔✔global tissue hypo perfusion and
metabolic acidosis
what can shock occur with - 🧠 ANSWER ✔✔a normal blood pressure
what can hypotension occur without - 🧠 ANSWER ✔✔shock
what does inadequate oxygen delivery activate to maintain systemic oxygen
delivery - 🧠 ANSWER ✔✔autonomic responses
what neurotransmitters does the SNS release - 🧠 ANSWER ✔✔norepinephrine
,epinephrine
dopamine
cortisol
what does the renin angiotensin system conserve and vasoconstrict - 🧠 ANSWER
✔✔water and sodium
what is the goal of the renin angiotensin system to maintain - 🧠 ANSWER
✔✔cerebral and cardiac perfusion
what does shock lead to - 🧠 ANSWER ✔✔systemic metabolic lactic acidosis
what does systemic metabolic lactic acidosis overcome - 🧠 ANSWER ✔✔the
body's compensatory mechanisms
marker for cellular hypoxia - 🧠 ANSWER ✔✔lactate
inability of oxygen delivery to meet demand - 🧠 ANSWER ✔✔tissue hypoxia
4 stages of shock - 🧠 ANSWER ✔✔1. initial
2. compensatory
3. progressive
4. refractory
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,which stage of shock is NOT clinically apparent - 🧠 ANSWER ✔✔initial
manifestations of the compensatory stage of shock - 🧠 ANSWER ✔✔- restlessness
- tachycardia
- hypotension
- tachypnea
- oliguria
- hyperglycemia
- decreased bowel sounds
- weak pulses
- cool extremities
manifestations of the progressive stage of shock - 🧠 ANSWER ✔✔- hypotension
- weak peripheral pulses
- anuria
- ischemia of distal extremities
- lethargy
- absent bowel sounds
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, - dysrhythmias
- metabolic or respiratory acidosis
manifestations of the refractory stage of shock - 🧠 ANSWER ✔✔- profound
hypotension
- tachycardia
- peripheral tissue ischemia
- multisystem organ failure
- coma
result of multiorgan dysfunction syndrome - 🧠 ANSWER ✔✔end organ failure
what does hypovolemia require - 🧠 ANSWER ✔✔definitive treatment
what is given for non hemorrhagic hypovolemic shock - 🧠 ANSWER
✔✔crystalloids
what is given for hemorrhagic hypovolemic shock - 🧠 ANSWER ✔✔packed red
blood cells
Which finding is the best indicator that the fluid resuscitation for a 90-kg patient
with hypovolemic shock has been effective?
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