Incorrect Q's Flashcards

1
Q

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

A. Progressive
B. Compensatory
C. Irreversible
D. Nonprogressive

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2
Q

4 Phases of Shock

A
  1. Initial/Nonprogressive
  2. Hyperdynamic/Compensatory
  3. Progressive
  4. Hypodynamic/Refractory/Irriversible
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3
Q

Stage 1 Shock

A

Initial/Nonprogressive
* Hypoxia
* Anaerobic Cell Respiration
* Lactic Acidosis

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4
Q

Stage 2 Shock

A

Hyperdynamic/Compensatory
* BP may be within normal limits
* HR and Temp increases, due to Increased CO, and systemic Vasodilation

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5
Q

Stage 3 Shock

A

Progressive
* Decreased CO
* HypoTN
* Anasarca (Generalized Edema)

At this stage, compensatory mechanisms begin to fail.

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6
Q

Stage 4 Shock

A

Irreversible
* Decreased CO
* HypoTN
* Vasoconstriction

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7
Q

SBAR

A
  • Situation
  • Background
  • Assessment
  • Recommendation
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8
Q

Rapid Acting Insulin

A

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

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9
Q

Short Acting insulin

A

Generic Name
* Regular Insulin
Onset: 30 mins
Peak: 2-4 hours
Duration: 5-12 hours

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10
Q

Intermediate Insulin

A

Generic Name
* NPH
Only cloudy Insulin
Onset: 1-4 hours
Peak: 4-12 hours
Duration: 10-24+ hours

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11
Q

Long Acting Insulin

A

Generic Name
* Glargine
Onset: 2-4 hours
Peak: Only insulin without peak
Duration: 24+ hours

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