Review | Medical Emergencies
2026 Exam Questions and
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What type of shock is septic shock considered? - 🧠ANSWER
✔✔Distributive
,3 types of distributive shock: Septic shock, neurogenic shock, and
anaphylactic shock.
Sepsis occurs when there is a circulatory and cellular/metabolic
abnormality severe enough to increase mortality in the tissue that could
potentially cause multi-organ failure
While at bedside of your adult ICU patient, you elect to perform an RSI
prior to transport due to decreasing mentation and airway protection. Your
patient presents with the following pulmonary artery catheter readings:
CVP 1
SVR 400
PCWP 9
CI 5.6
PAP 17/11
What induction agent would you utilize?
Etomidate
,Ketamine
Versed
Fentanyl - 🧠ANSWER ✔✔Ketamine
This is a septic shock patient as displayed by decreased CVP, decreased
SVR and increased CI
Etomidate should be avoided in patients with septic shock r/t it causing
adrenal insufficiency and cortisol production, which is already present in
septic shock states. Preferred induction agent would be ketamine because
Versed may further worsen hemodynamic stability. Fentanyl is not an RSI
sedation induction agent to be utilized but can be used as pre-treatment
medication to RSI
A 54 year old male presents to the hospital with hypotension and AMS.
There is no medical history.
A Pulmonary Artery Catheter is placed in the patient and shows the
following:
CVP: 13
3
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, PAP: 28/12
PAOP: 18
CI: 1.8
SVR: 2,200
What type of shock do you suspect this patient is in? - 🧠ANSWER
✔✔Cardiogenic Shock
This patient has a high CVP, high PAOP, low CI, and high SVR which is
indicative of cardiogenic shock.
Hypovolemic shock may have a high SVR and low CI but would not have a
high CVP and PAOP.
Septic shock is defined as - 🧠ANSWER ✔✔Multiorgan dysfunction caused
by a host response to infection