Trauma-related Shock Causes
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Questions and Answers

What is the primary cause of distributive shock?

  • Cardiac tamponade
  • Intravascular volume loss
  • Neurogenic or medical causes (correct)
  • Massive pulmonary embolism
  • What is the hallmark of the irreversible stage of shock?

  • Cool, clammy skin
  • Systemic vital organ failure (correct)
  • Increased heart rate
  • Hypotension
  • What is the primary purpose of frequently monitoring blood pressure in shock patients?

  • To assess for cardiac tamponade
  • To evaluate the effectiveness of treatment
  • To diagnose shock
  • To determine organ perfusion (correct)
  • What is the main challenge in diagnosing shock in the early stages?

    <p>Blood pressure is not a reliable indicator</p> Signup and view all the answers

    What is the primary difference between the compensated and decompensated stages of shock?

    <p>The body's ability to compensate for blood loss</p> Signup and view all the answers

    What is the primary goal of assessing a patient in shock?

    <p>To recognize shock and initiate treatment</p> Signup and view all the answers

    What may persist in some cases of severe hemorrhage despite hemorrhage control and IV volume infusion?

    <p>Shock symptoms and signs</p> Signup and view all the answers

    What should be done early during evaluation and treatment of hemorrhage?

    <p>Place the patient on an ECG monitor</p> Signup and view all the answers

    What should be considered if IV access cannot be obtained in a critical patient?

    <p>Using IO vascular access</p> Signup and view all the answers

    What is the purpose of hemostatic agents in hemorrhage control?

    <p>To stop hemorrhage by facilitating clotting</p> Signup and view all the answers

    When should hemostatic agents be used?

    <p>When pressure and a tourniquet cannot stop bleeding</p> Signup and view all the answers

    When should IV access be gained in a patient with severe hemorrhage?

    <p>During transportation</p> Signup and view all the answers

    What is the recommended approach to fluid resuscitation in managing shock due to internal hemorrhage?

    <p>Provide minimal fluids until hemorrhage control is obtained</p> Signup and view all the answers

    Why is it important to maintain a cerebral perfusion pressure of at least 60 mmHg in patients with traumatic brain injury?

    <p>To maintain cerebral function and prevent further neurologic deterioration</p> Signup and view all the answers

    What should be considered if unable to quickly establish an intravenous line in a patient with internal hemorrhage?

    <p>Consider IO vascular access</p> Signup and view all the answers

    What is a potential consequence of administering large amounts of IV fluids to patients with uncontrolled internal hemorrhage?

    <p>Increased blood pressure and potential increased internal bleeding</p> Signup and view all the answers

    What is NOT indicated for internal hemorrhage?

    <p>Hemostatic agents</p> Signup and view all the answers

    Why are IV fluids not a replacement for red blood cells in patients with hemorrhagic shock?

    <p>IV fluids cannot carry oxygen</p> Signup and view all the answers

    What is the primary concern in the treatment of moribund trauma patients with blood pressures under 50 mmHg systolic?

    <p>Maintaining some degree of circulation</p> Signup and view all the answers

    What should be monitored in a patient with internal hemorrhage?

    <p>Heart rate and oxygen saturation using pulse oximetry</p> Signup and view all the answers

    What is the recommended target systolic blood pressure in an adult with traumatic brain injury and suspected hemorrhagic shock?

    <p>110 mmHg</p> Signup and view all the answers

    Why should early blood transfusion be prioritized in severe cases of hemorrhagic shock?

    <p>To replace lost red blood cells and oxygen-carrying capacity</p> Signup and view all the answers

    What should be done when there is a delay in transporting patients with hemorrhagic shock?

    <p>Document the circumstances carefully in the patient care report</p> Signup and view all the answers

    What should guide therapy for patients with probable exsanguinating internal hemorrhage, pending further research?

    <p>Local medical direction</p> Signup and view all the answers

    What is the primary reason for shock to occur if one of the four components of normal perfusion is absent?

    <p>Insufficient volume of fluid in the vascular system</p> Signup and view all the answers

    What is the term for shock caused by insufficient volume within the vascular system?

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

    What is the formula for calculating pulse pressure?

    <p>SBP - DBP</p> Signup and view all the answers

    What is the primary goal of managing shock?

    <p>Maintaining circulation through an adequate heart rate and intravascular volume</p> Signup and view all the answers

    What is the term for the uncontrolled external hemorrhage type of shock?

    <p>External hemorrhage–uncontrolled</p> Signup and view all the answers

    What is the first basic rule of shock management?

    <p>Maintain the airway</p> Signup and view all the answers

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