5 Written questions
5 Matching questions
- What is neurogenic shock characterized by?
- Use of isoproterenol (Isuprel) in cardiogenic shok
- Use of IV nitroglycerine (Tridil) in cardiogenic shock
- Cause of anaphylactic shock?
- Nursing considerations for hypovolemic shock
- a Loss of sympathetic tone (disruption of SNS)
Skin warm and dry, decreasd BP, Decreased HR, Decreased Temperature.
- 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.
- c vital signs, electrolyte imbalance, I&O, correct acidosis
- d Dilates vessels to enhance blood flow to the myocardium. Drug of choice for chest pain during MI.
- 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
- bleeding out
- vasodilation d/t mediators of inflammatory process in response to overwhelming INFECTION - 40-70% mortality rate depending on organism.
- Adequate cardiac pump
Sufficient blood volume
- vasodilation (lowers BP) and increased capillary permeability/leakage d/t cellular injury from bacterial toxins- lose fluid out of vasculature.
- Increased HR, vasoconstriction, activates renin angiotensin mechanisms, ADH increases, increase secretion of epinephrine and norepinephrine to increase BP and HR.
5 True/False questions
cardiogenic shock → pump failure - 80-100% mortality rate
what is the universal blood type → MASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)
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
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.
Medical management of neurogenic shock → O2, control chest pain, selective fluid support, medications (dopamine, dobutamine, isoproterenol, norepinephrine, IV nitro)