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5 Written questions

5 Matching questions

  1. Use of norephinephrine (Levophed) in cardiogenic shock
  2. Two symptoms common to all types of shock?
  3. What is contraindicated in ventricular tachycardia with cardiogenic shock
  4. hypovolemic shock
  5. Body's compensatory mechanisms for shock
  1. a Increased HR, vasoconstriction, activates renin angiotensin mechanisms, ADH increases, increase secretion of epinephrine and norepinephrine to increase BP and HR.
  2. b absolute volume loss or relative volume loss as with ascites (3rd spacing) - 10-31% mortality rate.
  3. c IABP
  4. d Vasoconstriction alpha 1 stimulator
  5. e mental confusion and oliguria

5 Multiple choice questions

  1. Spinal cord injury, Spinal anesthesia, depressant action of medications, lack of glucose (insulin reaction or shock), Severe pain.
  2. VS, elastic compression stockings, HOB elevated 30 degrees.
  3. monitor HR, BP, LOC, urine output. Recognize early and manage to reduce chance of end-stage organ damage. Provide pt teaching regarding drug therapy.
  4. O2, control chest pain, selective fluid support, medications (dopamine, dobutamine, isoproterenol, norepinephrine, IV nitro)
  5. 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.

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. Nursing considerations for hypovolemic shockI&O, VS (especially temp), labs.


  3. Medical management of anaphylactic shockRemove causitive agent.
    Order of TX:
    Epi IV to provide vasoconsrictive action and bronchodilation
    Diphenhydramine (Benadryl) IV to reverse histamine effectsa
    Nebulized albuterol (Proventil) to reverse histamine-induced bronchospasm.
    Oral steroid such as methylprednisolone (Solumedrol) for longer lasting antiinflammatory effects.


  4. hydrostatic 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


  5. symptoms of shockmental 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.