Podcast
Questions and Answers
What is the primary cause of distributive shock?
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?
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?
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?
What is the main challenge in diagnosing shock in the early stages?
What is the primary difference between the compensated and decompensated stages of shock?
What is the primary difference between the compensated and decompensated stages of shock?
What is the primary goal of assessing a patient in shock?
What is the primary goal of assessing a patient in shock?
What may persist in some cases of severe hemorrhage despite hemorrhage control and IV volume infusion?
What may persist in some cases of severe hemorrhage despite hemorrhage control and IV volume infusion?
What should be done early during evaluation and treatment of hemorrhage?
What should be done early during evaluation and treatment of hemorrhage?
What should be considered if IV access cannot be obtained in a critical patient?
What should be considered if IV access cannot be obtained in a critical patient?
What is the purpose of hemostatic agents in hemorrhage control?
What is the purpose of hemostatic agents in hemorrhage control?
When should hemostatic agents be used?
When should hemostatic agents be used?
When should IV access be gained in a patient with severe hemorrhage?
When should IV access be gained in a patient with severe hemorrhage?
What is the recommended approach to fluid resuscitation in managing shock due to internal hemorrhage?
What is the recommended approach to fluid resuscitation in managing shock due to internal hemorrhage?
Why is it important to maintain a cerebral perfusion pressure of at least 60 mmHg in patients with traumatic brain injury?
Why is it important to maintain a cerebral perfusion pressure of at least 60 mmHg in patients with traumatic brain injury?
What should be considered if unable to quickly establish an intravenous line in a patient with internal hemorrhage?
What should be considered if unable to quickly establish an intravenous line in a patient with internal hemorrhage?
What is a potential consequence of administering large amounts of IV fluids to patients with uncontrolled internal hemorrhage?
What is a potential consequence of administering large amounts of IV fluids to patients with uncontrolled internal hemorrhage?
What is NOT indicated for internal hemorrhage?
What is NOT indicated for internal hemorrhage?
Why are IV fluids not a replacement for red blood cells in patients with hemorrhagic shock?
Why are IV fluids not a replacement for red blood cells in patients with hemorrhagic shock?
What is the primary concern in the treatment of moribund trauma patients with blood pressures under 50 mmHg systolic?
What is the primary concern in the treatment of moribund trauma patients with blood pressures under 50 mmHg systolic?
What should be monitored in a patient with internal hemorrhage?
What should be monitored in a patient with internal hemorrhage?
What is the recommended target systolic blood pressure in an adult with traumatic brain injury and suspected hemorrhagic shock?
What is the recommended target systolic blood pressure in an adult with traumatic brain injury and suspected hemorrhagic shock?
Why should early blood transfusion be prioritized in severe cases of hemorrhagic shock?
Why should early blood transfusion be prioritized in severe cases of hemorrhagic shock?
What should be done when there is a delay in transporting patients with hemorrhagic shock?
What should be done when there is a delay in transporting patients with hemorrhagic shock?
What should guide therapy for patients with probable exsanguinating internal hemorrhage, pending further research?
What should guide therapy for patients with probable exsanguinating internal hemorrhage, pending further research?
What is the primary reason for shock to occur if one of the four components of normal perfusion is absent?
What is the primary reason for shock to occur if one of the four components of normal perfusion is absent?
What is the term for shock caused by insufficient volume within the vascular system?
What is the term for shock caused by insufficient volume within the vascular system?
What is the formula for calculating pulse pressure?
What is the formula for calculating pulse pressure?
What is the primary goal of managing shock?
What is the primary goal of managing shock?
What is the term for the uncontrolled external hemorrhage type of shock?
What is the term for the uncontrolled external hemorrhage type of shock?
What is the first basic rule of shock management?
What is the first basic rule of shock management?
