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Questions and Answers
What is the primary cause of tissue damage and organ failure in shock?
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?
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?
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?
What is the likely mental status of a patient in Stage I shock?
What is the primary goal of the body's compensatory mechanisms in Stage I shock?
What is the primary goal of the body's compensatory mechanisms in Stage I shock?
What is the primary characteristic of Stage III shock?
What is the primary characteristic of Stage III shock?
What is the primary cause of cardiogenic shock?
What is the primary cause of cardiogenic shock?
What is the common outcome of Stage III shock?
What is the common outcome of Stage III shock?
Which type of shock is caused by an overwhelming allergic reaction?
Which type of shock is caused by an overwhelming allergic reaction?
What is the primary cause of hypovolemic shock?
What is the primary cause of hypovolemic shock?
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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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