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Old 08-24-2012
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Question The best indicator of moving to the progressive phase of shock?

A 62-year-old man is involved in a serious automobile collision and is examined by paramedics at the scene of the accident. His heart rate is 120 beats/min, and his blood pressure is 80/60 mm Hg. His skin is cold and clammy. What is the best indicator to decide whether he is moving to the progressive phase of shock from the compensated stage?

a) Elevated aldosterone in the blood
b) Elevated creatinine phosphokinase in the blood
c) Elevated rennin in the blood
d) Lactic acidosis
e) Reduced clearance values
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Old 08-24-2012
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C ????????
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Old 08-24-2012
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yeah C probably...
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Old 08-24-2012
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Well confused btw A & C But i'd go with A
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Old 08-24-2012
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E. reduced clearance values due to ARF??
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Old 08-25-2012
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Lactic acidosis...
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Old 08-25-2012
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Quote:
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E. reduced clearance values due to ARF??
reduced clearance starts in compensated phase i think..due to compensated mechanisms....correct me if m wrong...
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Old 08-25-2012
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Automobile collusion so may be blood loss-----> decrease in cardiac output
So in compensation she should be hypotensive and her HR should decrease
But this patients heart rate is increased that means he is moving to progressive phase.
a, c, e are compensatory responses.
Confused with b or d
Will go with B. Elevated CK in blood


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Old 08-25-2012
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b or d
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Old 08-25-2012
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Umm, D?
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Old 08-27-2012
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Lactic acidosis
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Old 08-27-2012
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[QUOTE=Casandra;142036]A 62-year-old man is involved in a serious automobile collision and is examined by paramedics at the scene of the accident. His heart rate is 120 beats/min, and his blood pressure is 80/60 mm Hg. His skin is cold and clammy. What is the best indicator to decide whether he is moving to the progressive phase of shock from the compensated stage?

a) Elevated aldosterone in the blood
b) Elevated creatinine phosphokinase in the blood
c) Elevated rennin in the blood
d) Lactic acidosis
e) Reduced clearance values


The answer is D
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Old 01-26-2013
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Default lactic acidosis

d lactic acidosis
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Old 01-26-2013
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lactic acidosis
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