NUR 213-Shock Test 4 Review Study Guide
1.causes of anaphylactic shock: bee
stings medication reaction
food allergy
2.symptoms of anaphylactic shock: rapid
onset sweating
feeling of
apprehension
tightness in throat
broncho spasms
tingling in mouth, face, or
throat itching
weaknes
s LOC
3.Causes of hypovolemic shock: Hemorrhagic fluid/blood loss
-burns can cause plasma loss
diuresis
diabete
s GI
Loss
dehydration
4.symptoms of hypovolemic shock: increased systemic vascular
resistance poor skin turgor
thirst
oliguria
low systemic and pulmonary
preloads rapid hr
5.Diagnosis is made for hypovolemic shock after: a loss of 15%
intravascular volume
6.S-E-P-S-I-S: shivering/fever, or very
cold extreme pain or general
discomfort
pale or discolored skin
sleepy, difficult to wake up,
confused I feel like I might die
short of breath
7.Most common infections that cause sepsis: lung infection, UTI, gut
infection
8.any factor that stimulates parasympathetic activity or inhibits
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, sympathetic activity of vascular smooth muscles can cause , results in
widespread and massive vasodilation.: neurogenic shock
9.causes of neurogenic shock: spinal cord injury
above T5 spinal anesthesia
vasomotor center depression (severe pain, drugs, hypoglycemia)
10.symptoms of neurogenic shock: unopposed parasympathetic - warm
skin, peripheral vasodilation, hypotension, bradycardia, decreased
vascular tone, de- creased systemic vascular resistance, inadequate
cardiac output, decreased tissue perfusion, impaired cellular
metabolism, massive vasodilation, imbalance between sympathetic and
parasympathetic stimulation
11.normal MAP: 70-100
12.Increased RR: All shocks
13.Increased HR: everything but neurogenic
14.low BP: all shocks
15.low temp: anaphylactic and neurogenic
16.no change in temp: cardiogenic, obstructive, hypovolemic
17.temp starts high then ends up back at normal: septic
18.low urine O/P: everything but septic
19.normal to oliguric urine O/P: septic
20.breathing, cough, hives, LOC, wheezing, coughing, sweaty, dizzy,
fainting, strider, airway obstruction: anaphylactic shock
21.warm, dry skin, confusion, fever, chills, SOB, lab abnormalities (liver,
phos- phorus,creat), N/V, diarrhea, lethargy, comatose, paralysis, preapism:
septic shock
22.warm dry skin, venous pooling of blood due to loss of vascular tone
(not shunting as much), weakness, cyanosis, SOB, restless, dizzy, N/V,
fainting, pale skin: neurogenic shock
23.decreased MAP, crackles, PE, decreased urine O/P, Assess troponin,
JVD, BNP, vitals, weak, thready pulse, chest pressure, syncope, may have
murmur or gallop: cardiogenic shock
24.decreased cap refill, change in LOC, chest pain, peripheral edema
r/t underlying cause, looks similar to cardiogenic shock.: obstructive
shock
25.dehydration, dizziness, fainting, fatigue, weakness, N/V, increased HR,
de- creased urine, mental confusion, pallor, sleepiness, dry skin, thirst,
orthostatic HTN: hypovolemic shock
26.allergen causes response in the body. IGE causes mast cells to release
histamine in body. Causes smooth muscle contraction triggering
2/
13
1.causes of anaphylactic shock: bee
stings medication reaction
food allergy
2.symptoms of anaphylactic shock: rapid
onset sweating
feeling of
apprehension
tightness in throat
broncho spasms
tingling in mouth, face, or
throat itching
weaknes
s LOC
3.Causes of hypovolemic shock: Hemorrhagic fluid/blood loss
-burns can cause plasma loss
diuresis
diabete
s GI
Loss
dehydration
4.symptoms of hypovolemic shock: increased systemic vascular
resistance poor skin turgor
thirst
oliguria
low systemic and pulmonary
preloads rapid hr
5.Diagnosis is made for hypovolemic shock after: a loss of 15%
intravascular volume
6.S-E-P-S-I-S: shivering/fever, or very
cold extreme pain or general
discomfort
pale or discolored skin
sleepy, difficult to wake up,
confused I feel like I might die
short of breath
7.Most common infections that cause sepsis: lung infection, UTI, gut
infection
8.any factor that stimulates parasympathetic activity or inhibits
1/
13
, sympathetic activity of vascular smooth muscles can cause , results in
widespread and massive vasodilation.: neurogenic shock
9.causes of neurogenic shock: spinal cord injury
above T5 spinal anesthesia
vasomotor center depression (severe pain, drugs, hypoglycemia)
10.symptoms of neurogenic shock: unopposed parasympathetic - warm
skin, peripheral vasodilation, hypotension, bradycardia, decreased
vascular tone, de- creased systemic vascular resistance, inadequate
cardiac output, decreased tissue perfusion, impaired cellular
metabolism, massive vasodilation, imbalance between sympathetic and
parasympathetic stimulation
11.normal MAP: 70-100
12.Increased RR: All shocks
13.Increased HR: everything but neurogenic
14.low BP: all shocks
15.low temp: anaphylactic and neurogenic
16.no change in temp: cardiogenic, obstructive, hypovolemic
17.temp starts high then ends up back at normal: septic
18.low urine O/P: everything but septic
19.normal to oliguric urine O/P: septic
20.breathing, cough, hives, LOC, wheezing, coughing, sweaty, dizzy,
fainting, strider, airway obstruction: anaphylactic shock
21.warm, dry skin, confusion, fever, chills, SOB, lab abnormalities (liver,
phos- phorus,creat), N/V, diarrhea, lethargy, comatose, paralysis, preapism:
septic shock
22.warm dry skin, venous pooling of blood due to loss of vascular tone
(not shunting as much), weakness, cyanosis, SOB, restless, dizzy, N/V,
fainting, pale skin: neurogenic shock
23.decreased MAP, crackles, PE, decreased urine O/P, Assess troponin,
JVD, BNP, vitals, weak, thready pulse, chest pressure, syncope, may have
murmur or gallop: cardiogenic shock
24.decreased cap refill, change in LOC, chest pain, peripheral edema
r/t underlying cause, looks similar to cardiogenic shock.: obstructive
shock
25.dehydration, dizziness, fainting, fatigue, weakness, N/V, increased HR,
de- creased urine, mental confusion, pallor, sleepiness, dry skin, thirst,
orthostatic HTN: hypovolemic shock
26.allergen causes response in the body. IGE causes mast cells to release
histamine in body. Causes smooth muscle contraction triggering
2/
13
