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Nursing of Adults II > Chapter 42: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome: Manifestations by Type > Flashcards

Chapter 42: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome: Manifestations by Type Flashcards

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1
Q

*cool or warm skin

A

neurogenic

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2
Q

*stridor

A

anaphylactic

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3
Q

*metallic taste

A

anaphylactic

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4
Q

*increased cardiac biomarkers

A

cardiogenic

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5
Q

*myocardial dysfunction

A

septic

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6
Q

*decreased hematocrit

A

hypovolemic

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7
Q

increased CVP (central venous pressure)

A

cardiogenic, obstructive

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8
Q

decreased PAWP (pulmonary artery wedge pressure)

A

hypovolemic, anaphylactic

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9
Q

*feeling of impending doom

A

anaphylactic

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10
Q

*increased BNP

A

cardiogenic

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11
Q

decreased cerebral perfusion (anxiety, confusion, agitation)

A

cardiogenic, hypovolemic, obstructive

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12
Q

*loss of reflex activity

A

neurogenic

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13
Q

decreased capillary refill

A

cardiogenic, hypovolemic

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14
Q

*respiratory alkalosis to respiratory acidosis

A

septic

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15
Q

increased lactate

A

hypovolemic, septic

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16
Q

increased urine specific gravity

A

hypovolemic, septic

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17
Q

*bowel dysfunction

A

neurogenic

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18
Q

*respiratory dysfunction related to level of injury

A

neurogenic

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19
Q

*positive blood cultures

A

septic

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20
Q

changing temperatures

A

neurogenic, septic

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21
Q

*flushing skin

A

anaphylactic

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22
Q

*biventricular dilation

A

septic

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23
Q

*dysrhythmias

A

cardiogenic

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24
Q

*coma (late)

A

septic

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25
Q

*bradycardia

A

neurogenic

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26
Q

*cyanosis

A

cardiogenic

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27
Q

*decreased hemoglobin

A

hypovolemic

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28
Q

*increased sodium/water retention

A

cardiogenic

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29
Q

*hypoxemia

A

septic

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30
Q

*decreased LOC

A

anaphylactic

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31
Q

decreased CO

A

cardiogenic, hypovolemic, neurogenic, anaphylactic, obstructive

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32
Q

*third spacing

A

anaphylactic

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33
Q

decreased CVP (central venous pressure)

A

hypovolemic, neurogenic, anaphylactic

34
Q

*decreased SV (stroke volume)

A

cardiogenic

35
Q

*wheezing

A

anaphylactic

36
Q

*respiratory failure

A

septic

37
Q

decreased urine output

A

cardiogenic, hypovolemic, septic, obstructive

38
Q

*increased BUN

A

cardiogenic

39
Q

tachycardia

A

cardiogenic, hypovolemic, anaphylactic, septic, obstructive

40
Q

*pulmonary hypertension

A

septic

41
Q

*dry skin

A

neurogenic

42
Q

*GI bleeding

A

septic

43
Q

*decreased to absent bowel sounds

A

obstructive

44
Q

*decreased ejection fraction

A

septic

45
Q

*chest pain

A

anaphylactic

46
Q

*ARDS

A

septic

47
Q

*decreased skin perfusion

A

neurogenic

48
Q

*absent (not decreased) bowel sounds

A

hypovolemic

49
Q

increased SVR (systemic vascular resistance)

A

cardiogenic, hypovolemic, obstructive

50
Q

*decreased urine sodium

A

septic

51
Q

*pruritus

A

anaphylactic

52
Q

*pulmonary infiltrates on chest x-ray

A

cardiogenic

53
Q

increased BG

A

cardiogenic, septic

54
Q

*warm and flushed skin to cool and mottled skin (late)

A

septic

55
Q

*hyperventilation

A

septic

56
Q

*increased procalcitonin

A

septic

57
Q

bradypnea (late)

A

hypovolemic, obstructive

58
Q

*incontinence (renal)

A

anaphylactic

59
Q

*increased PAWP (pulmonary artery wedge pressure)

A

cardiogenic

60
Q

*edema of larynx and epiglottis

A

anaphylactic

61
Q

shortness of breath

A

anaphylactic, obstructive

62
Q

*changing WBCs

A

septic

63
Q

pallor

A

cardiogenic, hypovolemic, obstructive

64
Q

*abdominal pain, cramping, diarrhea

A

anaphylactic

65
Q

*paralytic ileus

A

septic

66
Q

nausea and vomiting

A

cardiogenic, anaphylactic

67
Q

*left ventricular dysfunction on echocardiogram

A

cardiogenic

68
Q

cool, clammy skin

A

cardiogenic, hypovolemic, obstructive

69
Q

decreased preload

A

hypovolemic, obstructive

70
Q

*urticaria

A

anaphylactic

71
Q

*flaccid paralysis below level of lesion

A

neurogenic

72
Q

crackles

A

cardiogenic, septic

73
Q

*decreased renal blood flow

A

cardiogenic

74
Q

*angioedema

A

anaphylactic

75
Q

*bladder dysfunction

A

neurogenic

76
Q

*decreased (not absent) bowel sounds

A

cardiogenic

77
Q

*electrolyte changes

A

hypovolemic

78
Q

*decreased SVR (systemic vascular resistance)

A

neurogenic

79
Q

tachypnea

A

cardiogenic, hypovolemic, obstructive

80
Q

*decreased platelets

A

septic

Nursing of Adults II (8 decks)

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