Term
| Cardiogenic, Neurogenic/Vasogenic, Anaphylactic, Septic and Hypovolemic are all types of |
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Definition
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Term
| Cardiogenic shock is caused by |
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Definition
| heart failure, MI, CHF, myocarcial ischemia, pericardial infections, dysrhythmias, excessive right ventricular afterload drug toxicity |
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Term
| Neurogenic/Vasogenic shock is caused by |
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Definition
| neural alterations in vascular smooth muscle tone; anything that stimulates parasympathetic activity or inhibits sympathetic activity of vascular smooth muscles |
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Term
| Anaphylactic shock is caused by |
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Definition
| hypersensitivity or immunologic alterations leading to vasodilation and peripheral pooling |
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Term
| Septic shock is caused by |
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Definition
| infectious process; a component of SIRS, this syndrome begins with infection progressing to bacteremia then sepsis, then severe sepsis, then septic shock and multi organ failure syndrome (MODS) Septic shock begins with bacteria in bloodstream either directly from site of infection or from toxic substances released by bacteria |
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Term
| Microbial phenomenon characterized by inflammatory response to presence of microorganisms is called |
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Definition
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Term
| Presence of bacteria in blood |
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Definition
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Term
System inflammatory response to a variety of severe clinical insults manifested by 2 or more signs:
Temp <36C or >38C;
HR>90;
Resp >20breaths/min or ACO2<32mmHg;
WBC >12,000 or <4000
is called |
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Definition
| SIRS - Systemic inflammatory response syndrome |
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Term
| Systemic response to infections |
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Definition
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Term
| Sepsis associated with organ dysfunction, hypotension or hypoperfusion (lactic acidosis, oliguria or AMS) is called |
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Definition
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Term
| Severe sepsis with circulatory failure is called |
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Definition
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Term
| Presence of altered organ function in acutely ill individuals is called |
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Definition
| MODS Multiple Organ dysfunction syndrome |
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Term
| MODS seen in shock affect the following organ/tissue |
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Definition
| Brain Kidneys Lung Liver Skin and Gastrointestinal tract |
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Term
| Lethargy, confusion and stupor are signs & symptoms of MODS affecting the |
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Definition
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Term
| Azotemia, impaired drug excretion, oliguria, edema and acidosis are signs & symptoms of MODS affecting the |
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Definition
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Term
| Dyspnea, orthopnea, pulmonary hypertension, tachypnea, rales and pleural effusions are signs & symptoms of MODS affecting the |
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Definition
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Term
| Jaundice, abdominal distention, muscle wasting, bleeding, enlargment, tenderness and ascites are signs & symptoms of MODS affecting the |
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Definition
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Term
| Cold, pale, cyanotic, perspiring extremities, impaired heat loss, dependent pitting edema are signs & symptoms of MODS affecting the |
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Definition
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Term
| Ascites, constant fullness, diarrhea, mucosal ulceration and bleeding are signs & symptoms of MODS affecting the |
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Definition
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Term
| In ICD-10, bacteremia is coded with a symptom code and bacteremia with sepsis is coded to |
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Definition
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Term
| In ICD-10, Severe sepsis requires 3 code assignments |
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Definition
code underlying systemic infection
code subcategory R65.2 Severe sepsis
code associated acute organ dysfunction |
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Term
| In ICD-10 Septic shock requires 2 code assignments |
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Definition
code underlying systemic infection
code for severe sepsis with septic shock |
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Term
| This type of shock develops quickly after major burn injuries |
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Definition
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Term
| 1st Degree, 2nd Degree superficial partial thickness, 2nd Degree deep partial thickness and 3rd Degree Full thickness are classifications for |
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Definition
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Term
What classification of burn results in
Destruction of epidermis only
with blister after 24 hours and
peeling of skin after 24-48 hours healing in 3 - 5 days
no scarring |
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Definition
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Term
What classification of burn results in
Destruction of epidermis& some dermis
Present within minutes of injury
Re to pale ivory, moist surface
Heals in 21 - 28 days
Scarring may be present influenced by genetic predisposition |
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Definition
Second degree blistering
superficial partial thickness |
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Term
What classification of burn results in
Destruction of epidermis & dermis
Pain sensors are diminished
Blisters may or may not appear
Flat dehydrated layer of tissue that list off in sheets
Mottled areas of waxy white tissue, dry surface
Heals in 30 days to many months with excision and grafting
Highest incidence of scarring influenced by genetic predispositon |
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Definition
Second degree blistering
deep partial thickeness |
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Term
What classification of burn results in
Destruction of epidermis, dermis & subq
Blisters are rate;
Flat dehydrated layer of tissue lifts off easily
Wound is white,cherry red or black
may contained visible thrombosed veins, dry, hard leathery surface
Will no heal, may closed from edges as secondary healing if wound is small
requires excision and grafting
Scarring could be minimized by early excision and grafting
Scarring influenced by genetic predisposition |
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Definition
| Third degree Full Thickness Involvement |
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Term
| ICD-10 classifies Burns by |
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Definition
| depth, extent and by agent |
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Term
| Burns at the same site are classified to |
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Definition
| the highest degree of burn |
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Term
| This classification provides a percentage of surface area involved in the burn and must be documented by the physician for code assignment |
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Definition
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Term
| Rules of Nine provide the physician with the percentage of surface area burned for |
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Definition
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Term
| TBSA - total body surface area identifies |
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Definition
| the extent of body burned and is based on the rule of nines for adults and the Lund Browder chart for children |
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Term
| Burns over 20% of the TBSA result in complications of large water loss and fluctuation of fluid and electrolytes in tissue are considered |
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Definition
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Term
| These burns are not included in the TBSA estimate |
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Definition
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Term
| This response can be caused by infection, trauma, burns, pancreatitis, ischemia and hemorrhage |
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Definition
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Term
| The Lund-Browder chart identifies the extent of the body burned for this group of patients |
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Definition
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