18 Questions
What is the recommended fluid resuscitation ratio for hypovolemic shock?
1 mL of isotonic crystalloid for every 3 mL of estimated blood loss
What volume of blood was estimated to be lost by A.M. before surgery?
3 L
In the case of septic shock, what therapy is used for patients refractory to vasopressor therapy?
Exogenous vasopressin
What is the role of vasopressor drugs in shock management?
To increase blood pressure
What is the primary focus when managing hypovolemic shock?
Stopping fluid loss and restoring circulating volume
'What medications may be received by a patient with a BP of 102/54 and HR of 104?'
Vasopressors
Which type of hypovolemic shock results from the movement of fluid volume out of the vascular space into extravascular space?
Relative hypovolemia
What is the term used to describe the movement of fluid volume into extravascular space, causing relative hypovolemia?
Third spacing
Which clinical manifestation is NOT typically associated with hypovolemic shock?
Increased urinary output
In hypovolemic shock, what happens to stroke volume and pulmonary artery wedge pressure (PAWP)?
Decrease
What is the primary goal of drug therapy for correcting decreased tissue perfusion?
Maintaining MAP >65 mm Hg
If a patient experiences vomiting or diarrhea leading to a loss of intravascular fluid volume, this type of hypovolemia is called:
Absolute hypovolemia
Which clinical parameter is used to determine fluid responsiveness?
Urine output
Which condition can lead to absolute hypovolemia due to loss of intravascular fluid volume?
Hemorrhage
What are two major complications associated with large volume expansion?
Hypothermia and coagulopathy
Which drug class is used to achieve/maintain a Mean Arterial Pressure (MAP) of >60 to 65 mm Hg?
Vasopressor drugs
In patients with persistent hypotension after adequate fluids, what intervention may be added?
Vasopressor therapy
What is the purpose of warm crystalloid and colloid solutions in fluid resuscitation?
Replacing clotting factors
Test your knowledge on interprofessional care in fluid resuscitation, including volume expansion, determining fluid responsiveness through clinical assessment, monitoring vital signs, and managing complications like hypothermia and coagulopathy. Copyright © 2017, Elsevier Inc. All Rights Reserved.
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