Flash Cards

hypovolemic shock

Question Answer
what are some causes of hypovolemic shock? hemmorrhage, trauma , burns
in order for see some marked changes in v/s, what percent amount of blood need to be lost? 40%
with hypovolemic shock is there a problem with preload yes
Gi problems(vomiting,diarrhea, intestinal fistula), adrenal insufficiency, and diabetic coma may all cause _____________ therefore leading to hypovolemic shock. dehydration
what are the Stages of Hypovolemic shock and what is happening in each one? Non progressive(patient is compensating blood is shunted to heart and brain) progressive( compensatory fail unable to perfuse heart and brain NEED INTERVENTION) Refractory ( profound hypotension unresponsive to treatment, irreversable stage)
when is Permissive hypotension or hypotensive resucitation? patient that are going to surgury, need to keep bp @80-90
permissive hypotension is NOT used on which type of patient?why? closed head injuries. becouse need to have adequate cerebral pressure in order to maintain cerebral perfussion.
In permissive hypotension, aggressive fluid resucition may lead to__________ hemodilution and disruption of normal coagulation factors which cause further bleeding.
for a Patient in hypovolemic shock while on fluid replacement, assessment should be done every___________ 5-15 min
what are some outcome criteria that may tell us patient has adequate perfussion? alert and oriented, urine output > 30ml/hr, warm extremities, clear lung sounds, hr normal
what is the ratio we use for patient that needs fluid replacement? 3:1 ratio
when doing fluid replacement we monitor closely our patient with what type of health problem? HF, Renal disease and elderly
what are two types of colloids albumin, fresh frozen plasma
vasopressors are only given to patients in hypovolemic shock when there is ____________________ adequate fluid replacement

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