GI Bleed/Hypovolemic Shock RAPID Reasoning;
Jim Olson/a 45-year-old male with a history of
cirrhosis and ETOH abuse/100% Correct
Total blood volume - ANSWER-Total amount of
fluid circulating within the arteries, capillaries,
veins, venules, and chambers of the heart at any time
Red blood cells (erythrocytes) - ANSWER-
Component that adds volume to blood, making up
roughly 40% of total blood volume
White blood cells (leukocytes) - ANSWER-
Component that adds volume to blood
Platelets - ANSWER-Component that adds volume
to blood
Plasma - ANSWER-Component that accounts for
about 60% of total blood volume
Cardiac Output - ANSWER-Quantity of blood
pumped by the heart in a given period of time,
typically measured in liters per minute
,Vascular Integrity - ANSWER-Capacity of the
endothelium to retain fluids, macromolecules, and
leukocytes
Mean Arterial Pressure (MAP) - ANSWER-Average
arterial pressure throughout one cardiac cycle,
systole, and diastole
Altered Metabolism - ANSWER-Alterations in the
chemical reactions in the body's cells that change
food into energy
Baroreceptors - ANSWER-Special nerve cells or
receptors that sense blood pressure
Shunting - ANSWER-Process whereby venous
return into one circulatory system is recirculated
through the arterial outflow of the same circulatory
system
Multiple organ dysfunction syndrome (MODS) -
ANSWER-Disorder in which two or more organ
systems are not working correctly
,Initial stage of shock - ANSWER-Occurs when the
patient's baseline MAP is decreased by less than 10
mmHg
Compensatory stage - ANSWER-Occurs when MAP
decreases by 10 to 15 mmHg from baseline
Progressive stage of shock - ANSWER-Occurs
when there is a sustained decrease in MAP of more
than 20 mmHg from baseline
Refractory stage of shock - ANSWER-Occurs when
cell death and tissue damage results from too little
oxygen reaching the tissues
Assessment - ANSWER-Process of evaluating the
patient's condition
Sepsis resuscitation bundle - ANSWER-Set of
interventions to be performed within one hour of
recognizing sepsis
Oxygen therapy - ANSWER-Useful whenever shock
is present, delivered through various methods
, Drug therapy - ANSWER-Used when the patient
does not respond to fluid replacement, includes
vasoconstricting agents and inotropic therapy
Antibiotic therapy - ANSWER-Administered
intravenously to treat septic shock
IV fluids - ANSWER-Given to treat hypotension or
lactate greater than 4
Adrenal support - ANSWER-Providing the patient
with low dose cortical steroids during treatment
Blood replacement therapy - ANSWER-Used when
poor clotting with hemorrhage occurs
Heparin therapy - ANSWER-Used to limit
inappropriate clotting and prevent excessive
consumption of clotting factors
Surgical management - ANSWER-In addition to
non-surgical management, may be needed to correct
the cause of shock
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller perfectnurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.