Shock in Medical Emergency

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Questions and Answers

What is the primary cause of tissue damage and organ failure in shock?

  • Buildup of waste products in the blood
  • Inadequate perfusion of oxygen (correct)
  • Decreased kidney function
  • Increased heart rate and blood pressure

Which stage of shock is characterized by a patient's blood pressure being within normal limits?

  • Stage III - irreversible
  • All stages of shock
  • Stage I - compensated (correct)
  • Stage II - decompensated

What is the primary result of vasoconstriction in shock?

  • Reduced blood vessel diameter (correct)
  • Increased heart rate and cardiac output
  • Decreased blood flow to the vital organs
  • Increased blood flow to the skin

What is the likely mental status of a patient in Stage I shock?

<p>Confused, irritable, or lethargic (B)</p> Signup and view all the answers

What is the primary goal of the body's compensatory mechanisms in Stage I shock?

<p>To maximize blood flow to vital organs (B)</p> Signup and view all the answers

What is the primary characteristic of Stage III shock?

<p>The kidneys shut down, and blood pressure is low (A)</p> Signup and view all the answers

What is the primary cause of cardiogenic shock?

<p>Any disease or event that prevents the heart muscle from pumping strongly (A)</p> Signup and view all the answers

What is the common outcome of Stage III shock?

<p>Patient death (C)</p> Signup and view all the answers

Which type of shock is caused by an overwhelming allergic reaction?

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

What is the primary cause of hypovolemic shock?

<p>Excess fluid loss, leading to low blood volume (D)</p> Signup and view all the answers

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Study Notes

Definition and Effects of Shock

  • Shock is a medical emergency that occurs when organs and tissues don't receive adequate blood flow, leading to inadequate perfusion and oxygen deprivation.
  • Inadequate perfusion causes tissue damage, organ failure, or even death.

Stages of Shock

  • Stage I (Compensated): low blood flow is detected, and the body activates systems to maintain perfusion, resulting in tachycardia, tachypnea, vasoconstriction, and fluid retention in the circulatory system.
  • Stage II ( Decompensated): compensation mechanisms fail, and symptoms worsen, including oxygen deprivation in the brain, deteriorating AVPU scale, and abnormal vital signs.
  • Stage III (Irreversible): prolonged poor perfusion causes permanent damage to organs and tissues, leading to heart failure, kidney shutdown, and eventual death.

Types of Shock

  • Cardiogenic shock: heart-related problems prevent the heart from pumping blood normally.
  • Hypovolemic shock: low total blood volume due to factors like dehydration, excessive urination, or blood loss.
  • Septic shock: overwhelming infection, usually by bacteria.
  • Anaphylactic shock: severe allergic reaction to substances like bee stings, food, or other allergens.

Causes of Cardiogenic Shock

  • Heart attack (myocardial infarction)
  • Inflammation of the heart muscle (myocarditis)
  • Electrical rhythm disturbances
  • Mass or fluid accumulation/blood clot interfering with heart flow

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