Inadequate Tissue Perfusion & Impaired Oxygen Delivery Overview

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Which treatment is recommended for Tension Pneumothorax in EMS?

Needle T (correct)

NS boluses

Epi @ Benadryl

Blood products

What is a symptom of Compensated shock?

RR fast

HR bounding +3

Weakness

SPO2 WNL (correct)

In the context of Irreversible shock, what skin condition may be observed?

Warm and moist

Red and dry

Cool and clammy

Dusk or pale, extremities cold (correct)

Which stage of shock is characterized by a pulse pressure of 30-40?

Stage III Signup and view all the answers

What is a common symptom of Decompensated shock?

Anxious, Confused Signup and view all the answers

In the context of shock, what is the effect on the blood shunting towards the lungs?

Lungs shunt blood Signup and view all the answers

Which condition does not respond to resuscitation efforts according to the text?

"PEA" Signup and view all the answers

What is the main clinical syndrome resulting from inadequate tissue perfusion?

Hypoperfusion Signup and view all the answers

Which process involves shunting of blood bypassing capillary exchange beds?

Hypoperfusion Signup and view all the answers

What may lead to increases in CO2 and Lactate blood levels in areas of Hypoperfusion?

Severe shock Signup and view all the answers

Which condition results in a negative Base deficit (-2 - +2)?

Metabolic Acidosis Signup and view all the answers

What process involves the release of potent inflammatory processes leading to vasodilation?

Severe shock Signup and view all the answers

Which situation may lead to an increase in inflammatory process and clotting cascade in areas of Hypoperfusion?

Trauma Signup and view all the answers

What is the main metabolic process that increases Lactate blood levels during Hypoperfusion?

Anaerobic metabolism Signup and view all the answers

Which cellular response is activated by endothelial cell damage in areas of Hypoperfusion?

Increase in WBCs Signup and view all the answers

'Shock' releases a catastrophic cascade of events involving pumps, pipes, fluids, and electrical disturbances. What is the first step in managing this cascade?

Identify the etiology Signup and view all the answers

Which of the following is the correct range for the pulmonary vascular resistance (PVR) in the given information?

20-120 dynes/sec/cm^-5 Signup and view all the answers

What is the primary function of antidiuretic hormone (ADH) in the context of blood pressure regulation?

Uptake of water in the kidneys Signup and view all the answers

Which of the following is NOT a type of shock listed in the given information?

Hemorrhagic Signup and view all the answers

Which of the following is the correct range for the mean arterial pressure (MAP) according to the given information?

60-100 mmHg Signup and view all the answers

Which of the following hormones is primarily responsible for the activation of the renin-angiotensin-aldosterone system (RAAS) in response to low blood pressure?

Renin Signup and view all the answers

What is the primary function of the sympathetic nervous system in the context of blood pressure regulation?

Vasoconstriction and increased heart rate Signup and view all the answers

Which of the following is the correct range for the pulmonary artery pressure (PAP) according to the given information?

15-25 mmHg Signup and view all the answers

Which of the following is NOT a therapeutic intervention mentioned in the given information for managing low afterload?

Furosemide Signup and view all the answers

What is the primary function of the electrical impulse in the cardiac cycle, as represented by the SAC and DPF phases?

Cardiac contraction and relaxation Signup and view all the answers

What is the most common cause of neurogenic shock?

Injury to head or spinal cord (above T6) Signup and view all the answers

Which of the following is a characteristic of anaphylactic shock?

Body exposed to a substance that produces a severe allergic reaction Signup and view all the answers

What is the primary function of antidiuretic hormone (ADH) in the context of blood pressure regulation?

To increase water reabsorption in the kidneys Signup and view all the answers

Which of the following is NOT a type of generalized vasodilation shock listed in the text?

Cardiogenic shock Signup and view all the answers

Which of the following is the correct range for the mean arterial pressure (MAP) according to the given information?

$60-90$ mmHg Signup and view all the answers

What is the primary function of the sympathetic nervous system in the context of blood pressure regulation?

To increase cardiac output Signup and view all the answers

Which of the following is the correct range for the pulmonary artery pressure (PAP) according to the given information?

$15-25$ mmHg Signup and view all the answers

Which of the following is NOT a therapeutic intervention mentioned in the given information for managing low afterload?

Mechanical ventilation Signup and view all the answers

Which of the following is the correct range for the pulmonary vascular resistance (PVR) in the given information?

$0.5-2.5$ Wood units Signup and view all the answers

What is the main metabolic process that increases Lactate blood levels during Hypoperfusion?

Anaerobic glycolysis Signup and view all the answers

What is a common cause of Neurogenic shock, as described in the text?

Ingestion of barbiturates or phenothiazines Signup and view all the answers

Which physical finding is associated with Cardiac Tamponade, according to the text?

Affected breath sounds Signup and view all the answers

What is the primary problem in Dissociative shock, according to the text?

Container abnormalities Signup and view all the answers

What action is recommended for manual C-spine stabilization in patients with Spinal Shock?

Administer IV fluids Signup and view all the answers

Which condition results in ventilation/perfusion mismatch, based on the information provided?

Massive Pulmonary Embolism Signup and view all the answers

What is an essential characteristic of Shock as described in the text?

Loss of sympathetic tone below injury Signup and view all the answers

What is the effect of excess fluid in the pericardial sac on the heart in Cardiac Tamponade?

Impairs heart's ability to contract Signup and view all the answers

What physical sign is indicative of Tension Pneumothorax, based on the information provided?

Muffled heart tones Signup and view all the answers

What characteristic describes Neurogenic shock based on the text?

Vasodilation happens below the injury level Signup and view all the answers

What is a common symptom associated with Tension Hemothorax as per the information provided?

Hypotension and tachypnea Signup and view all the answers

Inadequate Tissue Perfusion & Impaired Oxygen Delivery Overview

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Questions and Answers

Which treatment is recommended for Tension Pneumothorax in EMS?

What is a symptom of Compensated shock?

In the context of Irreversible shock, what skin condition may be observed?

Which stage of shock is characterized by a pulse pressure of 30-40?

What is a common symptom of Decompensated shock?

In the context of shock, what is the effect on the blood shunting towards the lungs?

Which condition does not respond to resuscitation efforts according to the text?

What is the main clinical syndrome resulting from inadequate tissue perfusion?

Which process involves shunting of blood bypassing capillary exchange beds?

What may lead to increases in CO2 and Lactate blood levels in areas of Hypoperfusion?

Which condition results in a negative Base deficit (-2 - +2)?

What process involves the release of potent inflammatory processes leading to vasodilation?

Which situation may lead to an increase in inflammatory process and clotting cascade in areas of Hypoperfusion?

What is the main metabolic process that increases Lactate blood levels during Hypoperfusion?

Which cellular response is activated by endothelial cell damage in areas of Hypoperfusion?

'Shock' releases a catastrophic cascade of events involving pumps, pipes, fluids, and electrical disturbances. What is the first step in managing this cascade?

Which of the following is the correct range for the pulmonary vascular resistance (PVR) in the given information?

What is the primary function of antidiuretic hormone (ADH) in the context of blood pressure regulation?

Which of the following is NOT a type of shock listed in the given information?

Which of the following is the correct range for the mean arterial pressure (MAP) according to the given information?

Which of the following hormones is primarily responsible for the activation of the renin-angiotensin-aldosterone system (RAAS) in response to low blood pressure?

What is the primary function of the sympathetic nervous system in the context of blood pressure regulation?

Which of the following is the correct range for the pulmonary artery pressure (PAP) according to the given information?

Which of the following is NOT a therapeutic intervention mentioned in the given information for managing low afterload?

What is the primary function of the electrical impulse in the cardiac cycle, as represented by the SAC and DPF phases?

What is the most common cause of neurogenic shock?

Which of the following is a characteristic of anaphylactic shock?

What is the primary function of antidiuretic hormone (ADH) in the context of blood pressure regulation?

Which of the following is NOT a type of generalized vasodilation shock listed in the text?

Which of the following is the correct range for the mean arterial pressure (MAP) according to the given information?

What is the primary function of the sympathetic nervous system in the context of blood pressure regulation?

Which of the following is the correct range for the pulmonary artery pressure (PAP) according to the given information?

Which of the following is NOT a therapeutic intervention mentioned in the given information for managing low afterload?

Which of the following is the correct range for the pulmonary vascular resistance (PVR) in the given information?

What is the main metabolic process that increases Lactate blood levels during Hypoperfusion?

What is a common cause of Neurogenic shock, as described in the text?

Which physical finding is associated with Cardiac Tamponade, according to the text?

What is the primary problem in Dissociative shock, according to the text?

What action is recommended for manual C-spine stabilization in patients with Spinal Shock?

Which condition results in ventilation/perfusion mismatch, based on the information provided?

What is an essential characteristic of Shock as described in the text?

What is the effect of excess fluid in the pericardial sac on the heart in Cardiac Tamponade?

What physical sign is indicative of Tension Pneumothorax, based on the information provided?

What characteristic describes Neurogenic shock based on the text?

What is a common symptom associated with Tension Hemothorax as per the information provided?

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