EXAM 2 : NR341 / NR 341 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
COMPLEX ADULT HEALTH | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
CHAMBERLAIN
What kind of shock is this?
⬇️ HR, CO, CI, CVP, SVR .....ANSWER.....Neurogenic shock
What kind of shock is this?
⬆️ HR, ⬇️ CO, CI, CVP, PAOP .....ANSWER.....Anaphylactic
shock
What kind of shock is this?
⬆️ HR, CVP, PAP, PAOP ⬇️ CO, CI .....ANSWER.....Obstructive
shock
What kind of shock is this?
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⬆️ HR, CVP, PAOP ⬇️ CO, CI, .....ANSWER.....Cardiogenic
shock
What kind of shock is this?
⬆️ HR, SVR ⬇️ CO, CI, CVP, PAOP, BP
.....ANSWER.....Hypovolemic shock
What is MODS .....ANSWER.....Multi organ dysfunction syndrome
(SIRS can transition into MODS).
What is the initial stage of shock? .....ANSWER.....Slight drop of
BP and slight increase in HR. most of the time HCP don't catch it.
Patient feels fatigued. Give fluids and bed rest
What is compensatory stage of shock? .....ANSWER.....Lower BP
than before but not a lot. Pale, tachycardia, and restless. Give
antibiotics, fluid boils, and rest
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What is progressive stage of shock .....ANSWER.....BP drops,
hypoxia, oLiguria, rapid pulse, low PH, increased lactic acid,
edema, SIRS. Give vasopressin's and fluids
What is refractory stage of shock? .....ANSWER.....Excessive cell/
organ damage. Hard to bring back.
What is hypovolemic shock? .....ANSWER.....loss of too much
blood/fluid in the body
What is treatment of hypovolemic shock? .....ANSWER.....Stop the
cause, give blood, or give NACL or LR (an isotonic fluid)
What is cardiogenic shock? .....ANSWER.....Occurs when the heart
is damaged and unable to supply sufficient blood to the body
(MI, myocarditis, myocardial contusion) will often hear crackles in
the lungs
What is the treatment for cardiogenic shock?
.....ANSWER.....Treat pump failure, dopamine (increase HR),
dobutamine (helps heart contractility), diuretics (decrease after
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load), intraaortic balloon pump (help coronary perfusion and
increase CO), LVAD machine
What is obstructive shock? .....ANSWER.....Conditions that obstruct
the blood flow, decrease the perfusion to tissues. (Cardiac
tamponade, tension pneumothorax, pericarditis, pulmonary
embolism, severe HTN).
treatment of obstructive shock .....ANSWER.....Treat the blockage,
rest, and fluid
What is anaphylactic shock? .....ANSWER.....an extreme, often
life-threatening allergic reaction to an antigen to which the body
has become hypersensitive.
Treatment of anaphylactic shock .....ANSWER.....Re-establishment
of airway and oxygen therapy, administration of epinephrine to
raise blood pressure and dilate bronchi, administration of
diphenhydramine to block additional release of histamine,
corticosteroids to help with inflammation, and fluids