5 Written Questions
5 Matching Questions
- Nursing considerations for septic shock
- Nursing concerns for neurogenic shock
- symptoms of shock
- Use of norephinephrine (Levophed) in cardiogenic shock
- Use of IV nitroglycerine (Tridil) in cardiogenic shock
- a VS, elastic compression stockings, HOB elevated 30 degrees.
- b I&O, VS (especially temp), labs.
- c Vasoconstriction alpha 1 stimulator
- d mental confusion, depression, apathy, oliguria, heart failure (low CO), tachycardia (report HR >100/min), thready pulse, thirst, restlessness, anxiety, lethargy, cool extremities, pale skin, frequently hypotension (report BP <90), fainting, syncope rapid, shallow breathing (body trying to get more O2), metabolic acidosis, coma.
- e Dilates vessels to enhance blood flow to the myocardium. Drug of choice for chest pain during MI.
5 Multiple Choice Questions
- Spinal cord injury, Spinal anesthesia, depressant action of medications, lack of glucose (insulin reaction or shock), Severe pain.
- MASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)
- Drug 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
- 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
- Invasive procedures, Drug therapy, Fluid therapy, Surgical and traumatic wounds, Immunosuppressive therapy.
5 True/False Questions
Use of isoproterenol (Isuprel) in cardiogenic shok → Limited to shock associated with slow HR and myocardial depression. Not a first line drug, used when pt not responsive to other meds.
What are the INTRINSIC precipitating factors for septic shock → Invasive procedures, Drug therapy, Fluid therapy, Surgical and traumatic wounds, Immunosuppressive therapy.
what is the universal blood type → MASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)
mechanical support during cardiogenic shock → O2, control chest pain, selective fluid support, medications (dopamine, dobutamine, isoproterenol, norepinephrine, IV nitro)
3 requirements for adequate blood flow → O-negative