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Exam (elaborations)

Hypovolemic Shock TCRN fully solved &updated.

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Hypovolemic Shock TCRN fully solved &updated.

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  • November 5, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TCRN
  • TCRN
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BRAINBOOSTERS
Hypovolemic Shock TCRN
fully solved &updated
What do Alpha Adrenergic Receptors do in early/compensated shock
- answer Cause Vasoconstriction
Glycogenolysis
Diaphoresis


What do Alpha Cholinergic Receptors do after the shock state as
passed - answer Cause vasodilation
Glycogenesis
Dry up the skin


What is glycogenolysis - answer The conversion of glycogen in the
liver to glucose


What is glycogenesis - answer The process in which glucose is
converted into glycogen


What do beta 1 adrenergic receptors do? - answer Increase
contractility
Increase HR
Increase BP


What to Beta 2 Adrenergic Receptors do? - answer Increase RR
Cause Bronchodilation


What do Beta-1 Cholinergic Receptors do? - answer Chill the heart
out (decrease HR, BP, Contractility)

, What do Beta-2 Cholinergic Receptors do? - answer
Bronchoconstrict


What are 3 effects of the inflammatory response during shock? -
answer Vasodilation
Coagulopathies
Increased Capillary Permeability


In decompensated shock, as inflammatory mediators are released,
vasodilation occurs. What effect does this have? - answer
Hypotension


What causes coagulopathies in trauma? - answer Increase
inflammatory mediators and profound release of coag factors. As
coag factors become depleted, coagulopathy ensues


What can increased capillary permeability lead to? - answer ARDS


What are signs and symptoms of early hypovolemic shock? - answer
Increased HR
Normotensive or elevated BP
Increased RR
Above normal lactate levels


What are signs and symptoms of late/decompensated shock -
answer Hypotension
Downward trending HR
Altered mental status
Critical values r/t metabolic state, lactate, and base excess
Decreased RR

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