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5 Written questions

5 Matching questions

  1. hydrostatic pressure
  2. Nursing considerations for hypovolemic shock
  3. 3 requirements for adequate blood flow
  4. Two symptoms common to all types of shock?
  5. Causes of neurogenic shock?
  1. a mental confusion and oliguria
  2. b the 'pushing force', pushing the fluid out of the capillaries. It's the result of the actual pressure of the fluid on the capillary walls.
  3. c Spinal cord injury, Spinal anesthesia, depressant action of medications, lack of glucose (insulin reaction or shock), Severe pain.
  4. d Adequate cardiac pump
    Effective vasculature
    Sufficient blood volume
  5. e vital signs, electrolyte imbalance, I&O, correct acidosis

5 Multiple choice questions

  1. monitor HR, BP, LOC, urine output. Recognize early and manage to reduce chance of end-stage organ damage. Provide pt teaching regarding drug therapy.
  2. Treat underlying cause (may need surgery),
    Fluid and blood replacement (colloids-albumin; crystalloids (NS and LR)
    Redistribution of fluid - modified Trendelenburg
    Medications - dopamin (Intropine) & dobutamine (Dobutrex) (only if adequate intravascular fluid)
  3. MI, arrhythmias, valvular disease, cardiac surgery, cardiomyopathy.
  4. MASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)
  5. also called 'colloid osmotic pressure', is the 'pulling force', pulling fluids from the surrounding tissue into the capillaries. It's the result of a difference in the concentration of solutes in the fluid inside the capillaries as opposed to outside them

5 True/False questions

  1. What is anaphylactic shock characterized by?Vasodilation, Capillary permeability, Bronchospasm


  2. hypovolemic shockabsolute volume loss or relative volume loss as with ascites (3rd spacing) - 10-31% mortality rate.


  3. Shockvasodilation d/t mediators of inflammatory process in response to overwhelming INFECTION - 40-70% mortality rate depending on organism.


  4. Sequence of events for hypovolemic shockprevious exposure to allergen with resulting antibody formation - exposure again to substance - develops a systemic antigen-antibody reaction - mast cells are provoked to release potent vasoactive substances, ie histamine or bradykinin - widespread vasoD and cap perm - Decreased venous return to heart - Decreased stroke volume - Decreased CO - Decreased BP - Decreased tissue perfusion - Respiratory arrest - Cardiac arrest - Death


  5. what is the universal blood typeMASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)


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