NSG 252 - Test 3
Latest NSG 252 - Test 3 (Answer Guide)
Study online at https://quizlet.com/_j2lx6q
1. MAP* mean art pressure
goal: >65
2. CO* cardiac output - vol of blood heart pumps per min
goal: 4-8
3. CI cardiac index - how well heart is pumping for body size
goal: 2.2-4
4. SV stroke vol - vol of blood heart is putting out per beat
goal: 60-150
5. CVP* central venous pressure - R vent preload
goal: 2-8
6. SVR systemic vasc resistance - how heart heart has to pump to get blood to body
goal: 800-1200
7. PAP* pulm art pressure
goals:
PAPm - 10-20
PAPs - 15-25
PAPd - 8-15
8. PAOP/PAWP* pulm art occlusion pressure
goal: 6-12
[2026] Page 1 of 28
, NSG 252 - Test 3
Latest NSG 252 - Test 3 (Answer Guide)
Study online at https://quizlet.com/_j2lx6q
9. hypovolemic Shock caused by fluid or blood loss
shock
not enough VOL
10. hypovolemic hemorrhage
shock causes vomiting, diarrhea, sweating, dehydration
burns
diabetes insipidus
11. hypovolemic “PAWP/PAOP
shock signs “CO, ‘SVR
cool, clammy, pale skin
“output
weak, thready pulse
3rd spacing
“BP
‘HR, ‘RR
12. hypovolemic FLUID REPLACMENT:
shock tx isotonic crystalloids - LR
3:1 RULE - 3mL fluids per 1mL of EBL (estimated blood loss)
control any bleeding, blood products if needed
meds:
VASOPRESSORS (norepi) - IF BP stays low despite fluids
13. cardiogenic volume is there but PUMP is FAILING
shock
heart suddenly can't pump enough blood correctly
[2026] Page 2 of 28
, NSG 252 - Test 3
Latest NSG 252 - Test 3 (Answer Guide)
Study online at https://quizlet.com/_j2lx6q
14. cardiogenic PUMP FAILURE:
shock causes MI
HF
arrhythmia
15. cardiogenic ‘PAWP/PAOP
shock signs “CO, ‘SVR
cool, clammy skin, “cap refill
confusion
pulmonary edema, crackles, S3
‘HR
“BP
16. cardiogenic ‘contractility - VASOPRESSORS (norepi)
shock tx
treat the cause: heart cath, stenting, circulatory assist devices - if needed
Isotonic crystalloid fluids (smaller amounts, <250 mL) NS or LR
FUROSEMIDE - “pulmonary edema + PAWP/PAOP
meds:
vasopressors
diuretics
17. cardiogenic as- HEART monitor for:
sessment find- ECG monitoring - for dysrhythmias
ings to monitor listen for S3 (= HF)
for tachycardia
values:
BP - MAP goal >65
[2026] Page 3 of 28
Latest NSG 252 - Test 3 (Answer Guide)
Study online at https://quizlet.com/_j2lx6q
1. MAP* mean art pressure
goal: >65
2. CO* cardiac output - vol of blood heart pumps per min
goal: 4-8
3. CI cardiac index - how well heart is pumping for body size
goal: 2.2-4
4. SV stroke vol - vol of blood heart is putting out per beat
goal: 60-150
5. CVP* central venous pressure - R vent preload
goal: 2-8
6. SVR systemic vasc resistance - how heart heart has to pump to get blood to body
goal: 800-1200
7. PAP* pulm art pressure
goals:
PAPm - 10-20
PAPs - 15-25
PAPd - 8-15
8. PAOP/PAWP* pulm art occlusion pressure
goal: 6-12
[2026] Page 1 of 28
, NSG 252 - Test 3
Latest NSG 252 - Test 3 (Answer Guide)
Study online at https://quizlet.com/_j2lx6q
9. hypovolemic Shock caused by fluid or blood loss
shock
not enough VOL
10. hypovolemic hemorrhage
shock causes vomiting, diarrhea, sweating, dehydration
burns
diabetes insipidus
11. hypovolemic “PAWP/PAOP
shock signs “CO, ‘SVR
cool, clammy, pale skin
“output
weak, thready pulse
3rd spacing
“BP
‘HR, ‘RR
12. hypovolemic FLUID REPLACMENT:
shock tx isotonic crystalloids - LR
3:1 RULE - 3mL fluids per 1mL of EBL (estimated blood loss)
control any bleeding, blood products if needed
meds:
VASOPRESSORS (norepi) - IF BP stays low despite fluids
13. cardiogenic volume is there but PUMP is FAILING
shock
heart suddenly can't pump enough blood correctly
[2026] Page 2 of 28
, NSG 252 - Test 3
Latest NSG 252 - Test 3 (Answer Guide)
Study online at https://quizlet.com/_j2lx6q
14. cardiogenic PUMP FAILURE:
shock causes MI
HF
arrhythmia
15. cardiogenic ‘PAWP/PAOP
shock signs “CO, ‘SVR
cool, clammy skin, “cap refill
confusion
pulmonary edema, crackles, S3
‘HR
“BP
16. cardiogenic ‘contractility - VASOPRESSORS (norepi)
shock tx
treat the cause: heart cath, stenting, circulatory assist devices - if needed
Isotonic crystalloid fluids (smaller amounts, <250 mL) NS or LR
FUROSEMIDE - “pulmonary edema + PAWP/PAOP
meds:
vasopressors
diuretics
17. cardiogenic as- HEART monitor for:
sessment find- ECG monitoring - for dysrhythmias
ings to monitor listen for S3 (= HF)
for tachycardia
values:
BP - MAP goal >65
[2026] Page 3 of 28
