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5 Written questions

5 Matching questions

  1. Medical management of neurogenic shock
  2. Causes of hypovolemic shock
  3. Sequence of events for anaphylactic shock
  4. Use of norephinephrine (Levophed) in cardiogenic 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 Stabilization of spinal cord injury, positioning spinal anesthetic patient properly, giving glucose for hypoglycemia.
  3. c 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
  4. d hemorrhage, severe burns, dehydration (vomiting, diarrhea, diuresis), ascites, GI bleed, ruptured aneurysms, third spacing.
  5. e Vasoconstriction alpha 1 stimulator

5 Multiple choice questions

  1. Invasive procedures, Drug therapy, Fluid therapy, Surgical and traumatic wounds, Immunosuppressive therapy.
  2. vasodilation d/t ALLERGIC REACTION causing release of HISTAMINE.
  3. Treat underlying cause (may need surgery),
    Fluid and blood replacement (colloids-albumin; crystalloids (NS and LR)
    Redistribution of fluid - modified Trendelenburg
    Medications - dopamin (Intropine) & dobutamine (Dobutrex) (only if adequate intravascular fluid)
  4. Loss of sympathetic tone (disruption of SNS)
    Skin warm and dry, decreasd BP, Decreased HR, Decreased Temperature.
  5. vasodilation d/t nerve injury and suppression of SNS.

5 True/False questions

  1. 3 organs most concerned about with shockbrain, heart, kidneys (cells with high metabolic rates


  2. What are the INTRINSIC precipitating factors for septic shockExtremes of age, Immunosuppression, Chronic illness, Malnutrition.


  3. Nursing considerations during cardiogenic shockI&O, VS, ECG, CNS checks, electrolytes, clotting times, respiratory status, hemodynamic monitoring, and family needs.


  4. Nursing concerns for neurogenic shockvital signs, electrolyte imbalance, I&O, correct acidosis


  5. distributive shockMASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)