5 Written questions
5 Matching questions
- Sequence of events for anaphylactic shock
- Causes of neurogenic shock?
- Nursing concerns for neurogenic shock
- septic shock
- a VS, elastic compression stockings, HOB elevated 30 degrees.
- b Spinal cord injury, Spinal anesthesia, depressant action of medications, lack of glucose (insulin reaction or shock), Severe pain.
- c bleeding out
- d vasodilation d/t mediators of inflammatory process in response to overwhelming INFECTION - 40-70% mortality rate depending on organism.
- e previous exposure to allergen with resulting antibody formation - exposure again to substance - develops a systemic antigen-antibody reaction - mast cells are provoked to release potent vasoactive substances, ie histamine or bradykinin - widespread vasoD and cap perm - Decreased venous return to heart - Decreased stroke volume - Decreased CO - Decreased BP - Decreased tissue perfusion - Respiratory arrest - Cardiac arrest - Death
5 Multiple choice questions
- Severe allergic reaction in a patient who has previously been exposed to an allergen. Ie. contrast dyes, drugs, insect bites, foods such as peanuts.
- monitor HR, BP, LOC, urine output. Recognize early and manage to reduce chance of end-stage organ damage. Provide pt teaching regarding drug therapy.
- absolute volume loss or relative volume loss as with ascites (3rd spacing) - 10-31% mortality rate.
- vasodilation d/t nerve injury and suppression of SNS.
- Extremes of age, Immunosuppression, Chronic illness, Malnutrition.
5 True/False questions
S/S of hyperdynamic/warm phase of septic shock? → Increased HR and pulse, Decreased BP; flushed skin; Increased respirations/hyperventilation; Restlessness and confusion; increased urine output; Increased temperature. Legs may feel cool and mottled.
oncotic pressure → 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
symptoms of shock → 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.
Two symptoms common to all types of shock? → mental confusion and oliguria
causes of cardiogenic shock → Spinal cord injury, Spinal anesthesia, depressant action of medications, lack of glucose (insulin reaction or shock), Severe pain.