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5 Written questions

5 Matching questions

  1. distributive shock
  2. Nursing considerations for septic shock
  3. What is anaphylactic shock characterized by?
  4. Use of IV nitroglycerine (Tridil) in cardiogenic shock
  5. neurogenic shock
  1. a Vasodilation, Capillary permeability, Bronchospasm
  2. b I&O, VS (especially temp), labs.
  3. c MASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)
  4. d Dilates vessels to enhance blood flow to the myocardium. Drug of choice for chest pain during MI.
  5. e vasodilation d/t nerve injury and suppression of SNS.

5 Multiple choice questions

  1. Vasoconstriction alpha 1 stimulator
  2. VS, elastic compression stockings, HOB elevated 30 degrees.
  3. 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)
  4. Id and treat infection (usually Gram neg); eliminate potential sources of infection (remove and culture all lines and tubes, restart lines at different sites); Start broad spectrum abx-usually 3rd generation cephalosporin and an aminoglycoside, until C&S reports are received. Change abx according to organisms to a more specific/less toxic abx.; fluid replacement; aggressive nutritional support
  5. pump failure - 80-100% mortality rate

5 True/False questions

  1. 3 organs most concerned about with shockbrain, heart, kidneys (cells with high metabolic rates

          

  2. What is septic shock characterized by?vasodilation (lowers BP) and increased capillary permeability/leakage d/t cellular injury from bacterial toxins- lose fluid out of vasculature.

          

  3. Nursing considerations during cardiogenic shockvital signs, electrolyte imbalance, I&O, correct acidosis

          

  4. Use of isoproterenol (Isuprel) in cardiogenic shokLimited to shock associated with slow HR and myocardial depression. Not a first line drug, used when pt not responsive to other meds.

          

  5. What are the EXTRINSIC precipitating factors for septic shock?Extremes of age, Immunosuppression, Chronic illness, Malnutrition.

          

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