Distributive shock

Question 1

Distributive shock

Answer 1

occurs when the intravascular volume pools in peripheral blood vessels leading to inadequate perfusion

Question 2

Septic shock

Answer 2

organ dysfunction caused by dysregulated host response associated with hypotension despite adequate fluid resuscitation and presence of perfusion abnormalities

Question 3

Nursing management of IVs during septic shock

Answer 3

remove and reinsert into alternative site

Question 4

Treatment of septic shock

Answer 4

antibiotic therapy, fluid replacement

Question 5

Neurogenic shock

Answer 5

loss of vascular sympathetic tone and subsequent unopposed parasympathetic response

Question 6

s/s of neurogenic shock

Answer 6

dry/warm skin, hypotension, bradycardia, sensory and motor deficits, hypothermia

Question 7

Treatment of neurogenic shock

Answer 7

ABCs, stabilize spinal cord, HOB at 30 degrees, restore sympathetic tone

Question 8

Where to keep MAP at during neurogenic shock

Answer 8

85-90 to make sure there is perfusion to spinal cord

Question 9

Anaphylactic shock

Answer 9

severe allergic reaction that causes widespread vasodilation and capillary permeability

Question 10

Defining characteristics of anaphylactic shock (need 2+)

Answer 10

respiratory compromise, reduced BP, GI distress, skin/mucosal/tissue irritation, cardiovascular compromise

Question 11

Medical management of anaphylactic shock

Answer 11

remove causative agent, administer meds to restore vascular tone, fluid management from massive fluid shifts