hypovolemic shock - Answers inadequate circulating volume
internal or external losses of blood or fluid
dehydration, intractable vomiting, significant diarrhea, GI bleed, hemorrhage
cardiogenic shock - Answers heart fails to act as an effective pump
acute coronary syndrome, dysrhythmia, CHF, valvulopathy, drug toxicity, myocarditis, myocardial
contusion
obstructive shock - Answers physical impairment to adequate circulatory blood flow
pneumothorax, cardiac tamponade, pulmonary embolism
distributive shock - Answers occurs when intravascular volume pools in the peripheral blood vessels
sepsis, anaphylaxis, neurogenic, toxicologic, adrenal crisis
distributive shock- anaphylaxis - Answers introduction of an antigen into a sensitive individual initiating
an antigen-antibody response
distributive shock- septic - Answers follows invasion of a host by a microorganism
systemic inflammatory response syndrome (SIRS)- widespread inflammatory response
ARDS - Answers severe inflammatory process causing diffuse alveolar damage resulting noncardiogenic
pulmonary edema
2 distinct signs- bilateral white out chest xray and PaO2/FiO2 ratio of less than 200
interventions- prone positioning, intense amounts of PEEP
SIMV - Answers initial setting after reverse paralyzed
most common setting for intubated pt who is unparalyzed and breathing on their own
senses pts breath, lets pt do whatever they want every other breath to try to start making the pts lungs
wake up
PEEP - Answers movement of gases into lungs through positive pressure, opposite of normal respirations
indications for intubation - Answers acidosis, tachypnea, desat, altered LOC, ABG imbalance,
hypercapnea, can't protect their airway
sepsis - Answers 2 SIRS and confirmed or suspected infection