exam 1 part 2

Question 1

4 types of shock

Answer 1

Cardiogenic
Hypovolemic
Distributive
Obstructive

Question 2

common theme between all shocks

Answer 2

hypoperfusion

Question 3

Due to: Systolic or Diastolic dysfunction of the heart, dysrhythmias, or structural factors
Congestive HF : issue with the myocardium

Answer 3

cardiogenic shock

Question 4

tx for cardiogenic shock

Answer 4

: Nitrates, inotropes (dobutamine), diuretics, Beta Blocker

Question 5

External loss of whole blood or loss of other bodily fluids
d/t either hemorrhage from trauma, surgery, or a GI bleed
Other: vomiting, diarrhea, excessive diuresis, DI, DM

Answer 5

absolute hypovolemic shock

Question 6

Pooling of blood or fluids, fluid shifts, internal bleeding, massive vasodilation
d/t: Bowel obstruction, burns, ascities, fx of long bones, ruptured spllen, hemothorax, severe pancreatitis
Massive vasodilation d/t sepsis

Answer 6

relative hypovolemic shock

Question 7

only shock with bradycardia

Answer 7

neurogenic shock

Question 8

loss of sympathetic tone- massive vasodilation- hypotension, bradycardia

Answer 8

neurogenic shock

Question 9

what is neurogenic shock defined as

Answer 9

spinal cord injury and/or disease at or above T5

Question 10

tx for neurogenic

Answer 10

Vasopressors, atropine for bradycardia

Question 11

Hypersensitivity reaction to a sensitizing substance

ALLERGIC REACTION

Answer 11

anaphylactic shock

Question 12

Epinephrine, antihistamines, H2-blockers (Zantac), Bronchodilators (albuterol), Steroids

Answer 12

given for anaphylactic shock

Question 13

lab for septic shock

Answer 13

serum lactate level

Question 14

patient with septic shock

Answer 14

HYPOTENSION (MASSIVE VASODILATION), TACHYCARDIA(HEART TRYING TO KEEP UP), TACHYPNEA, FEVER/HYPOTHERMIA

Question 15

Physical obstruction that impedes the filling or outflow of blood from the heart.

Reduction in cardiac output.

Answer 15

obstructive shock

Question 16

what could cause obstructive shock

Answer 16

cardiac tamponade, pneumothorax, pulmonary embolism

Question 17

all distributive shocks have what in common

Answer 17

vasodilation; neurogenic, anaphylactic, septic

Question 18

why are you getting lactate levels for septic shock

Answer 18

because they have poor o2 delivery which means more lactate

Question 19

impairment of heart to pump effectively from a NON-cardiac reason

Answer 19

obstructive shock

Question 20

mg big take away

Answer 20

respiratory assessments! because it affects upper half of body

Question 21

does MS have flares

Answer 21

yes ; comes and goes

Question 22

may have to straight cath themselves

Answer 22

MS

Question 23

muscle spasticity

Answer 23

MS; can use muscle relaxants

Question 24

prophylactic seizure med

Answer 24

trammidol

Question 25

self care deficits related to the tremors of...

Answer 25

trigeminal neuralgia

Question 26

pain is so bad patients might commit suicide

Answer 26

trigeminal neuralgia

Question 27

bells palsy is what cranial nerve

Answer 27

7

Question 28

meningitis, herpes, hsv, tooth infection

Answer 28

bells palsy is caused by

Question 29

with hsv for bells palsy we can give

Answer 29

acyclovir

Question 30

autoimmune response to something- vaccine, illness

Answer 30

gullian barre ; most pt fully cover from this

Question 31

because gallon barre is ascending what are we worried about

Answer 31

it affecting the respiratory muscles and causing resp. failure

Question 32

change in LOC, n/v, papillaedema, stiff neck

Answer 32

meningitis

Question 33

always monitoring for sci

Answer 33

loc, motor functions, sensory functions- all neuro assessments

Question 34

labs for septic

Answer 34

lactate, coags, wbc, BLOOD CULTURES BEFORE ABX,

Question 35

shock can lead to

Answer 35

mods - multiple organ dysfunction