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5 Written questions

5 Matching questions

  1. What is neurogenic shock characterized by?
  2. Use of isoproterenol (Isuprel) in cardiogenic shok
  3. Use of IV nitroglycerine (Tridil) in cardiogenic shock
  4. Cause of anaphylactic shock?
  5. Nursing considerations for hypovolemic shock
  1. a Loss of sympathetic tone (disruption of SNS)
    Skin warm and dry, decreasd BP, Decreased HR, Decreased Temperature.
  2. b Severe allergic reaction in a patient who has previously been exposed to an allergen. Ie. contrast dyes, drugs, insect bites, foods such as peanuts.
  3. c vital signs, electrolyte imbalance, I&O, correct acidosis
  4. d Dilates vessels to enhance blood flow to the myocardium. Drug of choice for chest pain during MI.
  5. e Limited to shock associated with slow HR and myocardial depression. Not a first line drug, used when pt not responsive to other meds.

5 Multiple choice questions

  1. bleeding out
  2. vasodilation d/t mediators of inflammatory process in response to overwhelming INFECTION - 40-70% mortality rate depending on organism.
  3. Adequate cardiac pump
    Effective vasculature
    Sufficient blood volume
  4. vasodilation (lowers BP) and increased capillary permeability/leakage d/t cellular injury from bacterial toxins- lose fluid out of vasculature.
  5. Increased HR, vasoconstriction, activates renin angiotensin mechanisms, ADH increases, increase secretion of epinephrine and norepinephrine to increase BP and HR.

5 True/False questions

  1. cardiogenic shockpump failure - 80-100% mortality rate

          

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

          

  3. oncotic pressurealso 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

          

  4. hydrostatic pressurethe 'pushing force', pushing the fluid out of the capillaries. It's the result of the actual pressure of the fluid on the capillary walls.

          

  5. Medical management of neurogenic shockO2, control chest pain, selective fluid support, medications (dopamine, dobutamine, isoproterenol, norepinephrine, IV nitro)

          

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