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5 Written questions

5 Matching questions

  1. exsanguination
  2. Sequence of events for anaphylactic shock
  3. Causes of neurogenic shock?
  4. Nursing concerns for neurogenic shock
  5. septic shock
  1. a VS, elastic compression stockings, HOB elevated 30 degrees.
  2. b Spinal cord injury, Spinal anesthesia, depressant action of medications, lack of glucose (insulin reaction or shock), Severe pain.
  3. c bleeding out
  4. d vasodilation d/t mediators of inflammatory process in response to overwhelming INFECTION - 40-70% mortality rate depending on organism.
  5. 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

  1. Severe allergic reaction in a patient who has previously been exposed to an allergen. Ie. contrast dyes, drugs, insect bites, foods such as peanuts.
  2. monitor HR, BP, LOC, urine output. Recognize early and manage to reduce chance of end-stage organ damage. Provide pt teaching regarding drug therapy.
  3. absolute volume loss or relative volume loss as with ascites (3rd spacing) - 10-31% mortality rate.
  4. vasodilation d/t nerve injury and suppression of SNS.
  5. Extremes of age, Immunosuppression, Chronic illness, Malnutrition.

5 True/False questions

  1. 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.

          

  2. 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

          

  3. 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.

          

  4. Two symptoms common to all types of shock?mental confusion and oliguria

          

  5. causes of cardiogenic shockSpinal cord injury, Spinal anesthesia, depressant action of medications, lack of glucose (insulin reaction or shock), Severe pain.