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5 Written questions

5 Matching questions

  1. Medical management of anaphylactic shock
  2. Medical management of neurogenic shock
  3. Two symptoms common to all types of shock?
  4. Body's compensatory mechanisms for shock
  5. exsanguination
  1. a Increased HR, vasoconstriction, activates renin angiotensin mechanisms, ADH increases, increase secretion of epinephrine and norepinephrine to increase BP and HR.
  2. b mental confusion and oliguria
  3. c bleeding out
  4. d Remove 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.
  5. e Stabilization of spinal cord injury, positioning spinal anesthetic patient properly, giving glucose for hypoglycemia.

5 Multiple choice questions

  1. MASSIVE VASODILATION resulting in relative hypovolemia (3 divisions: anaphylactic, neurogenic, septic)
  2. Extremes of age, Immunosuppression, Chronic illness, Malnutrition.
  3. to reverse low BP effect of nitroglycerin and morphine (MS) by elevating BP to perfuse vital organs. Causes peripheral vasoconstriction (alpha 1) and increases the force of contraction (beta 1 w/ IV fusion only). Potential to cause tachycardia.
  4. DECREASED: CO, stroke volume, UO, ventricular emptying, tissue perfusion, blood pressure, LOC.
    INCREASED: HR
  5. Loss of sympathetic tone (disruption of SNS)
    Skin warm and dry, decreasd BP, Decreased HR, Decreased Temperature.

5 True/False questions

  1. Nursing considerations during cardiogenic shockvital signs, electrolyte imbalance, I&O, correct acidosis

          

  2. hypovolemic shockvasodilation d/t nerve injury and suppression of SNS.

          

  3. Nursing considerations for hypovolemic shockvital signs, electrolyte imbalance, I&O, correct acidosis

          

  4. Shockvasodilation d/t mediators of inflammatory process in response to overwhelming INFECTION - 40-70% mortality rate depending on organism.

          

  5. Nursing concerns for neurogenic shockVS, elastic compression stockings, HOB elevated 30 degrees.