Term
| Occurs when there is circulatory insufficiency between tissue oxygen supply and the resting metabolic demands of the tissues. |
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Definition
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Term
| Hypovolemic, cardiogenic, distributive, obstructive |
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Definition
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Term
| A patient in shock may have an elevated or subnormal temperature. T/F |
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Definition
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Term
| Shock is associated with a systolic BP below _____? |
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Definition
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Term
| Persistent elevations greater than 1.0 of the shock index indicates ??? |
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Definition
| impaired left ventricular function and is associted with increased mortality. |
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Term
| Neck vein distention, flattening and cardiac dysrhythimias. |
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Definition
| Cardiovascular manifestations of shock |
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Term
| Complete blood count, electrolytes, platelet count, blood urea nitrogen, creatinine determinations, prothrombin and partial prothrombin times, urinalysis. |
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Definition
| Frequently preformed lab studies for shock |
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Term
| Aggressive airway control is best obtained through ??? |
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Definition
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Term
| Isotonic crystalloid intravenous fluids in the intial resusitation phase. |
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Definition
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Term
| ______ is the ideal resuscitation fluid for shock. |
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Definition
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Term
| Used after appropriate volume resucitation has occurred and there is persistent hypotension. |
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Definition
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Term
| Used when systolic BP is over 100 mm Hg. |
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Definition
| dobutamine 2.0 to 20.0 micrograms/kg/min |
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Term
| Used when systolic BP is 70-100 mm Hg |
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Definition
| dopamine 5.0 to 20.0 micrograms/kg/min |
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Term
| Used for systolic BP of above 70 mm Hg. |
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Definition
| epinephrine 0.5 to 30.0 micrograms/kg/min |
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Term
| _____ should be treated with adequate ventilation and fluid resusitation. |
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Definition
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Term
| Can be caused by any class of microorganism. |
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Definition
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Term
| The majority of septis occurs with which bacteria? |
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Definition
| Gram negative and gram positive bacteria |
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Term
| Predisposing factors such as DM, lymphoproliferative diseases, cirrhosis, burns, invasive procedures and chemotherapy occur with which bacteria? |
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Definition
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Term
| Risk factors such as vascular catheters, burns, indwelling mechanical devices, and injection drug use are risk factors for which bacteria? |
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Definition
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Term
| Retinal hemmorages, cotton wool spots, and conjunctivial petechiae are manifestations of ??? |
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Definition
| Ophthalmic for septic shock |
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Term
| Hyperprexia, mental status changes, tachycardia, wide pulse pressure, tachypnea, warm extremities, hypoxemia, renal failure with azotemia and oliguria, liver dysfunction. |
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Definition
| Clinical features of septic shock. |
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Term
| T/F-- Hemoglobin and hematocrit are usually not affected unless the sepsis is prolonged or there is an associated GI bleed. |
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Definition
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Term
| May result from increased catecholamines, cortisol, and glucagon. |
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Definition
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Term
| Blood gases show hypoxemia and a respiratory acidosis. As perfusion worsens, and glycolysis increases, a metabolic acidosis occurs from decreased tissue perfusion, glycolysis in perpherial tissues and impaired hepatic clearance of lactate and pyruvate. |
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Definition
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Term
| Should be suspected in any patient with a temp above 38 degrees C. or below 36 degrees C, systolic BP below 90 mm Hg and evidence of inadequate organ perfusion. |
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Definition
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Term
| Ceftriaxone IV, Cefotaxime IV, or Ceftazidime IV |
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Definition
| Adult antibiotic therapy for sepsis |
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Term
| High flow oxygen, keeping oxygen saturation greater than 90% through endotracheal intubation. |
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Definition
| Aggresive airway management |
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