5 Written questions
5 Matching questions
- distributive shock
- Nursing considerations for septic shock
- What is anaphylactic shock characterized by?
- Use of IV nitroglycerine (Tridil) in cardiogenic shock
- neurogenic shock
- a Vasodilation, Capillary permeability, Bronchospasm
- b I&O, VS (especially temp), labs.
- c MASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)
- d Dilates vessels to enhance blood flow to the myocardium. Drug of choice for chest pain during MI.
- e vasodilation d/t nerve injury and suppression of SNS.
5 Multiple choice questions
- Vasoconstriction alpha 1 stimulator
- VS, elastic compression stockings, HOB elevated 30 degrees.
- 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)
- 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
- pump failure - 80-100% mortality rate
5 True/False questions
3 organs most concerned about with shock → brain, heart, kidneys (cells with high metabolic rates
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.
Nursing considerations during cardiogenic shock → vital signs, electrolyte imbalance, I&O, correct acidosis
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 EXTRINSIC precipitating factors for septic shock? → Extremes of age, Immunosuppression, Chronic illness, Malnutrition.