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5 Written questions

5 Matching questions

  1. What is neurogenic shock characterized by?
  2. oncotic pressure
  3. anaphylactic shock
  4. hypovolemic shock
  5. Nursing concerns for neurogenic shock
  1. a vasodilation d/t ALLERGIC REACTION causing release of HISTAMINE.
  2. b VS, elastic compression stockings, HOB elevated 30 degrees.
  3. c absolute volume loss or relative volume loss as with ascites (3rd spacing) - 10-31% mortality rate.
  4. d Loss of sympathetic tone (disruption of SNS)
    Skin warm and dry, decreasd BP, Decreased HR, Decreased Temperature.
  5. e 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 Multiple choice questions

  1. 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.
  2. a condition in which systemic blood pressure is inadequate to deliver oxygen and nutrients to support vital organs and cellular function- hypoxia
  3. Increased HR, vasoconstriction, activates renin angiotensin mechanisms, ADH increases, increase secretion of epinephrine and norepinephrine to increase BP and HR.
  4. Severe allergic reaction in a patient who has previously been exposed to an allergen. Ie. contrast dyes, drugs, insect bites, foods such as peanuts.
  5. O-negative

5 True/False questions

  1. Use of isoproterenol (Isuprel) in cardiogenic shokDrug of choice for cardiogenic shock because does not cause vasoconstriction but increases strength of contractions, improves stroke volume and CO. Minimal increase in HR. has a half-life of 2 minutes, given as an IV infusion drip, dosed in mcg/kg/min. only give in the ICU

          

  2. medical management of cardiogenic shockStabilization of spinal cord injury, positioning spinal anesthetic patient properly, giving glucose for hypoglycemia.

          

  3. Use of dopamine (Intropin) in cardiogenic shockDrug of choice for cardiogenic shock because does not cause vasoconstriction but increases strength of contractions, improves stroke volume and CO. Minimal increase in HR. has a half-life of 2 minutes, given as an IV infusion drip, dosed in mcg/kg/min. only give in the ICU

          

  4. Causes of hypovolemic shockMI, arrhythmias, valvular disease, cardiac surgery, cardiomyopathy.

          

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

          

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