CH.9 Shock

Question 1

1. Does the balloon on an intra-aortic balloon pump inflate or deflate during diastole?

Answer 1

inflate

Question 2

2. Would you expect a high or low HR in hypovolemic shock?

Answer 2

high

Question 3

3. Does heparin break up clots or aide in preventing clots?

Answer 3

Prevent clots

Question 4

4. Which 3 types of shock have vasodilation?

Answer 4

Anaphylactic, Septic, Neurogenic

Question 5

Sudden onset of chest pain and SOB is indicative of what?

Answer 5

a. Pulmonary embolism (PE)

Question 6

6. Which pulse site would you choose when evaluating perfusion to the brain?

Answer 6

carotid

Question 7

7. In distributive shock, why does the blood pressure drop?

Answer 7

Vascular dilation

Question 8

When a patient is in shock, they have inadequate cardiac output, true or false?

Answer 8

True – low volume/pressure

Question 9

State the four types of shock

Answer 9

Cardiogenic, Hypovolemic, Obstructive and Distributive

Question 10

What medication would you expect to give first when a patient is having an anaphylactic response?

Answer 10

Epinephrine

Question 11

What assessment findings are present in the third stage of shock?

Answer 11

Thready pulse, deep breathing, and low BP

Question 12

Why does a patient in shock become moist and cold?

Answer 12

Body will protect vital organs above all else – peripheral blood will go to the brain and heart

Question 13

What device would you expect to see used to help restore neurologic recovery?

Answer 13

Hypothermic device

Question 14

________ is an IV medication to treat hypotension. It is used to treat _______ shock

Answer 14

Norepinephrine, septic

Question 15

Shock progresses in a specific order. What is the order?

Answer 15

Pre-shock, shock, end-organ dysfunction

Question 16

When generalized inflammation that threatens vital organs occurs it is called

Answer 16

Systemic inflammatory response syndrome (SIRS)

Question 17

Which blood type is considered universal?

Answer 17

O-

Question 18

A syndrome characterized by an adequate tissue perfusion resulting in impaired cellular metabolism is called

Answer 18

Shock

Question 19

Why would you expect oliguria from a patient in hypovolemic shock?

Answer 19

vessels are dilated – body holds onto urine and a compensatory manner to help increase volume and vessels

Question 20

A systemic inflammatory response to a documented or suspected infection is called

Answer 20

sepsis

Question 21

How many minutes can go by before brain cells begin to die?

Answer 21

4 min

Question 22

What is DIC

Answer 22

Disseminated Intravascular Coagulation – forming of blood clots inside the vessels

Question 23

When a patient is in shock, are they in hyper or hypo metabolic state?

Answer 23

Hypermetabolic – needs are higher

Question 24

How would you figure out the minimal amount of urine output that is acceptable?

Answer 24

0.5mg/kg/hr – 0.5 x kg = xhr

Question 25

Most common type of shock is:

Answer 25

Hypovolemic

Question 26

Upon an admission, a nurse discovers a patient has already had the same or similar medication that you now have a physician order to give. What do you do?

Answer 26

Call the doctor for clarification; MD my not know patient has already taken medication prior to admission

Question 27

Hypothermic devices apply pressure to the legs and abdomen, why?

Answer 27

to improve perfusion

Question 28

In treating SIRS, it is important to have very aggressive treatment, why?

Answer 28

Multiple organs are involved and require multiple interventions and treatment

Question 29

If you were giving information about a patient who is a married Latina woman, who should you most likely address your information to?

Answer 29

Her Spouse

Question 30

If you see someone collapse outside of the hospital, assess, and find no need for CPR, what would you do next?

Answer 30

Call an ambulance

Question 31

If patient with a spinal cord injury starts having hypotension, what type of shock are they most likely going into?

Answer 31

Neurogenic

Question 32

When more than one organ begins to fail because of SIRS, the patient is said to have

Answer 32

Multiple organ dysfunction syndrome (MODS)

Question 33

With decreased cardiac output, would you most likely see hypertension or hypovolemia?

Answer 33

hypovolemia

Question 34

Which main body system fails in shock?

Answer 34

Circulatory

Question 35

A reduced ability of the blood to clot is called

Answer 35

Coagulopathy