Incorrect Q's Flashcards
The patient with septic shock presents with anasarca, weak pulses, decreased urine output, decreased responsiveness, and BP 88/52 mmHg, HR 160. The nurse would recognize these symptoms as indicators of which stage of shock?
A. Progressive
B. Compensatory
C. Irreversible
D. Nonprogressive
A. Progressive
B. Compensatory
C. Irreversible
D. Nonprogressive
4 Phases of Shock
- Initial/Nonprogressive
- Hyperdynamic/Compensatory
- Progressive
- Hypodynamic/Refractory/Irriversible
Stage 1 Shock
Initial/Nonprogressive
* Hypoxia
* Anaerobic Cell Respiration
* Lactic Acidosis
Stage 2 Shock
Hyperdynamic/Compensatory
* BP may be within normal limits
* HR and Temp increases, due to Increased CO, and systemic Vasodilation
Stage 3 Shock
Progressive
* Decreased CO
* HypoTN
* Anasarca (Generalized Edema)
At this stage, compensatory mechanisms begin to fail.
Stage 4 Shock
Irreversible
* Decreased CO
* HypoTN
* Vasoconstriction
SBAR
- Situation
- Background
- Assessment
- Recommendation
Rapid Acting Insulin
Generic Names
* Insulin Aspart
Onset: 15 mins
Peak: 1-3 hours
Duration: 3-5 hours
* Insulin Lispro
Onset: 15 mins
Peak: 30-90mins
Duration: 3-5 hours
Short Acting insulin
Generic Name
* Regular Insulin
Onset: 30 mins
Peak: 2-4 hours
Duration: 5-12 hours
Intermediate Insulin
Generic Name
* NPH
Only cloudy Insulin
Onset: 1-4 hours
Peak: 4-12 hours
Duration: 10-24+ hours
Long Acting Insulin
Generic Name
* Glargine
Onset: 2-4 hours
Peak: Only insulin without peak
Duration: 24+ hours