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5 Written Questions

5 Matching Questions

  1. Nursing considerations for septic shock
  2. Nursing concerns for neurogenic shock
  3. symptoms of shock
  4. Use of norephinephrine (Levophed) in cardiogenic shock
  5. Use of IV nitroglycerine (Tridil) in cardiogenic shock
  1. a VS, elastic compression stockings, HOB elevated 30 degrees.
  2. b I&O, VS (especially temp), labs.
  3. c Vasoconstriction alpha 1 stimulator
  4. 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.
  5. e Dilates vessels to enhance blood flow to the myocardium. Drug of choice for chest pain during MI.

5 Multiple Choice Questions

  1. Spinal cord injury, Spinal anesthesia, depressant action of medications, lack of glucose (insulin reaction or shock), Severe pain.
  2. MASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)
  3. 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
  4. 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. Invasive procedures, Drug therapy, Fluid therapy, Surgical and traumatic wounds, Immunosuppressive therapy.

5 True/False Questions

  1. 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.

          

  2. What are the INTRINSIC precipitating factors for septic shockInvasive procedures, Drug therapy, Fluid therapy, Surgical and traumatic wounds, Immunosuppressive therapy.

          

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

          

  4. mechanical support during cardiogenic shockO2, control chest pain, selective fluid support, medications (dopamine, dobutamine, isoproterenol, norepinephrine, IV nitro)

          

  5. 3 requirements for adequate blood flowO-negative

          

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