5 Written questions
5 Matching questions
- Cause of anaphylactic shock?
- What is neurogenic shock characterized by?
- What are the EXTRINSIC precipitating factors for septic shock?
- cardiogenic shock
- Nursing considerations for hypovolemic shock
- a pump failure - 80-100% mortality rate
- b vital signs, electrolyte imbalance, I&O, correct acidosis
- c Loss of sympathetic tone (disruption of SNS)
Skin warm and dry, decreasd BP, Decreased HR, Decreased Temperature.
- d Severe allergic reaction in a patient who has previously been exposed to an allergen. Ie. contrast dyes, drugs, insect bites, foods such as peanuts.
- e Invasive procedures, Drug therapy, Fluid therapy, Surgical and traumatic wounds, Immunosuppressive therapy.
5 Multiple choice questions
- vasodilation d/t mediators of inflammatory process in response to overwhelming INFECTION - 40-70% mortality rate depending on organism.
- 1. Decreased circulating volume 2. decreased venous return 3. decreased stroke volume, 4. decreased CO, 5. decreased cellular oxygen supply, 6. impaired tissue perfusion,
7. impaired cellular metabolism.
- 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
- Increased HR, vasoconstriction, activates renin angiotensin mechanisms, ADH increases, increase secretion of epinephrine and norepinephrine to increase BP and HR.
- absolute volume loss or relative volume loss as with ascites (3rd spacing) - 10-31% mortality rate.
5 True/False questions
Causes of neurogenic shock? → MI, arrhythmias, valvular disease, cardiac surgery, cardiomyopathy.
mechanical support during cardiogenic shock → intra-aortic ballon pump (IABP)
Two symptoms common to all types of shock? → mental confusion and oliguria
medical management of cardiogenic shock → Stabilization of spinal cord injury, positioning spinal anesthetic patient properly, giving glucose for hypoglycemia.
hydrostatic pressure → 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.