NSG 233 Med Surg Exam 1 – Questions Answered
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Terms in this set (68)
Stages of Shock Initial
Compensatory
Progressive
Refractory
Characteristics of initial Client can have no clinical manifestation. There is low
02 in the blood to feed organs, resulting in anaerobic
metabolism, meaning metabolism with out o2
Compensatory stage of shock HR ⬆️up
RR⬆️up
Urine output ⬇️ ( to maintain fluid and increase Bp)
Restlessness
Confused
Progressive stage of shock Hypotension
Weak HR
Metabolic acidosis
Lethergy
Cold and clammy priority ( early sign )
Refractory stage of shock ( Multi organ system failure, coma and death
irreversible )
,Carbon monoxide poisoning Skin color cherry red- lips shouldn’t be bright red or
symptoms blue. This indicate saturation of hemoglobin with
carbon monoxide.
Cyanotic and pale
Headache
Muscular weakness
Dizziness and confusion
Intervention
1 Assess carbon hemoglobin levels before give
oxygen
Oxygen should be administered 100% to reverse
hypoxia
A patient with carbon monoxide asses carbon hemoglobin levels
poison what is the nurse appropriate
for the patient with carbon monoxide poisoning,
carboxyhemoglobin levels are analyzed on arrival at
the ED and before treatment with oxygen if possible.
To reverse hypoxia and accelerate the elimination of
carbon monoxide, 100% oxygen is given at
atmospheric or preferably hyperbaric pressures.
Oxygen is given until the carboxyhemoglobin level is
less than 5%.
How would look pulse oximetry levels Normal
in pt with carbon monoxide poisoning
? Pulse oxymetry is not valid test because
hemoglobin is saturated with carbon monoxide and a
false high reading is being obtained
, Intervention for a patient who got The client should lay down, all restrictive items such
snake bite rain should be removed, the wound should be clean
and covered with a sterile dressing, defective body
part should be immobilized, and the client should be
kept warm
Triage tag colors The triage categories used in both systems are:
Red = immediate category. Individual in this group
can progress rapidly to expectant if treatment is
delayed
Yellow = observation category.
Green= wait category
Black =expectant category. For unsurvivable injury
Characteristic of shock symptoms all types of shock will have SEVERE LOW
PRESSURE
With Expert Insight
Save Groups
Terms in this set (68)
Stages of Shock Initial
Compensatory
Progressive
Refractory
Characteristics of initial Client can have no clinical manifestation. There is low
02 in the blood to feed organs, resulting in anaerobic
metabolism, meaning metabolism with out o2
Compensatory stage of shock HR ⬆️up
RR⬆️up
Urine output ⬇️ ( to maintain fluid and increase Bp)
Restlessness
Confused
Progressive stage of shock Hypotension
Weak HR
Metabolic acidosis
Lethergy
Cold and clammy priority ( early sign )
Refractory stage of shock ( Multi organ system failure, coma and death
irreversible )
,Carbon monoxide poisoning Skin color cherry red- lips shouldn’t be bright red or
symptoms blue. This indicate saturation of hemoglobin with
carbon monoxide.
Cyanotic and pale
Headache
Muscular weakness
Dizziness and confusion
Intervention
1 Assess carbon hemoglobin levels before give
oxygen
Oxygen should be administered 100% to reverse
hypoxia
A patient with carbon monoxide asses carbon hemoglobin levels
poison what is the nurse appropriate
for the patient with carbon monoxide poisoning,
carboxyhemoglobin levels are analyzed on arrival at
the ED and before treatment with oxygen if possible.
To reverse hypoxia and accelerate the elimination of
carbon monoxide, 100% oxygen is given at
atmospheric or preferably hyperbaric pressures.
Oxygen is given until the carboxyhemoglobin level is
less than 5%.
How would look pulse oximetry levels Normal
in pt with carbon monoxide poisoning
? Pulse oxymetry is not valid test because
hemoglobin is saturated with carbon monoxide and a
false high reading is being obtained
, Intervention for a patient who got The client should lay down, all restrictive items such
snake bite rain should be removed, the wound should be clean
and covered with a sterile dressing, defective body
part should be immobilized, and the client should be
kept warm
Triage tag colors The triage categories used in both systems are:
Red = immediate category. Individual in this group
can progress rapidly to expectant if treatment is
delayed
Yellow = observation category.
Green= wait category
Black =expectant category. For unsurvivable injury
Characteristic of shock symptoms all types of shock will have SEVERE LOW
PRESSURE
