Shock-Hypovolemic Classification and Precipitating Factors
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Questions and Answers

Which of the following is NOT a type of hypovolemic shock?

  • Absolute hypovolemia
  • Anaphylactic shock (correct)
  • Relative hypovolemia
  • Neurogenic shock
  • What is the primary goal of fluid resuscitation in hypovolemic shock?

  • Decrease lactate levels
  • Increase oxygen delivery
  • Keep the systolic blood pressure above 90 mmHg (correct)
  • Maintain urine output
  • Which of the following is a common cause of relative hypovolemia?

  • Diabetes insipidus
  • Hemorrhage from trauma
  • Bowel obstruction (correct)
  • Excessive diuresis
  • What is the '3:1 rule' in fluid resuscitation for hypovolemic shock?

    <p>For every 1 mL of blood loss, give 3 mL of isotonic crystalloid</p> Signup and view all the answers

    Which of the following is a common cause of absolute hypovolemia?

    <p>Hemorrhage from trauma</p> Signup and view all the answers

    What is the hemodynamic consequence of spinal cord injury at or above T5 level?

    <p>Neurogenic shock</p> Signup and view all the answers

    Which of the following is a common cause of relative hypovolemia due to fluid shifts?

    <p>Burn injuries</p> Signup and view all the answers

    Which of the following is a common diagnostic finding in hypovolemic shock?

    <p>Decreased hemoglobin</p> Signup and view all the answers

    Which patient population is at risk for distributive shock?

    <p>Older adults</p> Signup and view all the answers

    What is a common clinical manifestation of distributive shock affecting the skin?

    <p>Cool, clammy skin</p> Signup and view all the answers

    Which scenario is associated with neurogenic shock?

    <p>Hypotension and bradycardia</p> Signup and view all the answers

    What is a diagnostic finding that can indicate distributive shock?

    <p>Elevated lactate levels</p> Signup and view all the answers

    Which condition is characterized by decreased cardiac output, decreased SVR, and hypotension with tachycardia?

    <p>Anaphylactic shock</p> Signup and view all the answers

    What is a key feature of late septic shock?

    <p>Variable CVP and PAOP</p> Signup and view all the answers

    What is a common clinical manifestation of distributive shock affecting the renal system?

    <p>Oliguria</p> Signup and view all the answers

    What is the primary mechanism by which obstructive shock impairs cardiac output?

    <p>Decreased venous return</p> Signup and view all the answers

    Which of the following is a common cause of obstructive shock?

    <p>Cardiac tamponade</p> Signup and view all the answers

    What is the primary goal of management for obstructive shock?

    <p>Relieving or managing the obstruction</p> Signup and view all the answers

    Which diagnostic finding is most specific to the cause of obstructive shock?

    <p>Elevated central venous pressure</p> Signup and view all the answers

    What is the primary mechanism by which a pulmonary embolism can lead to obstructive shock?

    <p>Obstruction of pulmonary blood flow</p> Signup and view all the answers

    What is a common cause of obstructive shock?

    <p>Cardiac tamponade</p> Signup and view all the answers

    Which condition might require mechanical decompression through needle or tube insertion as part of its management?

    <p>Cardiac tamponade</p> Signup and view all the answers

    What is a specific diagnostic finding for superior vena cava syndrome in obstructive shock?

    <p>Venous distension in the neck and upper extremities</p> Signup and view all the answers

    Which clinical manifestation is typically associated with pulmonary embolism in obstructive shock?

    <p>Cyanosis</p> Signup and view all the answers

    What is a management approach for abdominal compartment syndrome in obstructive shock?

    <p>Decompressive laparotomy</p> Signup and view all the answers

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