NUR 245 Quiz 2 latest 2022

What are the complications from shock? - ANSWER ARDS DIC Respiratory Failure SIRS MODS What do you not use to treat cardiogenic shock? - ANSWER do not give IV fluids What are some causes of cardiogenic shock? - ANSWER MI Cardiac tampanode Cardiomyopathy Blunt Cardiac trauma What are S/S of absolute hypovolemic shock? - ANSWER Bleeding (any kind) Vomiting Diarrhea Fistula drainage Diuresis What should you assess the patient for if you are giving an abundance of IV fluids? - ANSWER Fluid Volume Overload Respiratory assessment lung sounds crackles dyspnea What are some causes of neurogenic shock? - ANSWER spinal cord injury T5 or above Spinal anesthesia What would you do first if a patient was getting a medication and had anaphylactic shock? - ANSWER stop the med What is the medication you would give if someone was having anaphylaxis? - ANSWER Epi What organism invades the body during sepsis? - ANSWER bacteria What are s/s in the compensatory stage of shock? - ANSWER cold extremities tachycardia hypotension cool and clammy skin warm and flushed skin (septic shock) Test tip: They are not in organ failure yet What are the goals for a patient in shock? - ANSWER Improve cardiac output Improve tissue perfusion What are the 3 major physiological effects of septic shock? - ANSWER Vasodilation Maldistribution of blood flow Myocardial depression How do you know fluid resuscitation has improved using hemodynamic monitoring? - ANSWER by checking: central venous pressure (CVP) arterial blood pressure How can the RN lower the risk of a patient getting sepsis? - ANSWER Using aseptic technique during procedures Timely antibiotics D/C foley's/Central lines ASAP CVP monitoring What do all shocks need within 24 hours of being admitted - ANSWER nutrition What is septic shock? - ANSWER Presence of sepsis with hypotension despite fluid resuscitation along with the presence of inadequate tissue perfusion. What lab will be elevated if the patient is going into shock? - ANSWER lactic acid Neurogenic shock can cause this s/s? - ANSWER Poikilothermia- patient takes on the temp of their environment and can't regulate their body temp. What is Relative hypovolemic shock causes? - ANSWER severe burns