Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Adult Nursing 2.0 Exam 2 > Shock part 4 (SIRS, MODS) > Flashcards

Shock part 4 (SIRS, MODS) Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

What does SIRS stand for?

A

Systemic inflammatory response syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define SIRS

A

Inflammatory syndrome that is widespread and affects the whole body in response to an infection that is related to sepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the criteria standard components for SIRS?

A

Temperature

Heart rate

Respiratory rate

Wbc count

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SIRS temperature requirements

A

Greater than 100.4 F

or

Less than 96.8 F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

SIRS heart rate

A

Greater than 90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

SIRS respiratory rate

A

Greater than 20 breathes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

SIRS white blood cell count requirements

A

Greater than 12,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Complications of SIRS

A

ARDS of lungs

Acute Kidney injury

Shock

Mods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is MODS?

A

Multiple organ dysfunction syndrome of 2 or more organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T/F

MODS is a chronic issue

A

False. It is acute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Will a patient with MODS have pressures and rates than can be controlled by meds?

A

No. This is when they are maxed out and its not helping. No intervention is working. Hanging on barely. No homeostasis regardless

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Stage 1 of MODS volume requiremnts?

A

Increased volume requirements to have any minimal perfusion left.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Will stage 1 of MODS have respiratory alkalosis or acidosis?

A

Mild respiratory alkalosis with stage 1 MODS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What assessment symptoms occur in stage 1 of MODS? And the intervention that correlates with it?

A

Oliguria (decrease UO) so they need more fluids

Hyperglycemia and increased need for insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Summarize stage 1 of MODS

A

Increased fluid requirements

Respiratory alkalosis

Oliguria

Hyperglycemic

More insulin needs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Stage 2 of MODS breathing rate?

A

Stage 2 has tachypneia, fast breathing

17
Q

Stage 2 of MODS Co2 levels? What does this do to vessels?

A

Hypocapnic which is related to constriction of vessels

18
Q

Stage 2 MODS blood?

A

Blood is hypoxemia

19
Q

Stage 2 MODS organ dtysfunctioning?

A

Moderate liver dysfunction

  • check labs
20
Q

Summarize stage 2 of MODS

A

Tachypnea

Hypocapnic

Hypoxemic

Moderate liver dysfunction

21
Q

What is Azotemia?

A

Abnormally high levels of nitrogen contained compounds (urea, creatinine, waste) in the blood due to the kidneys not filtering them out

22
Q

What stage of MODS has Azotemia?

A

Stage 3 MODS

23
Q

What labs do you check for with stage 3 MODS?

A

Look for ABG disturbances

Check the coagulation studies for abnormalities for DIC

24
Q

What will bowel sounds be like if your assessing a MODS stage 4 patient

A

Hypoactive x4 because they will be anuric and have ischemic colitis

25
Q

Summarize stage 3 of MODS

A

Azotemia rt bad kidneys

Acid base disturbances

Coagulation issues like DIC

26
Q

If a patient is in stage 4 of MODS what are they dependent on?

A

They are dependent on vasopressors

27
Q

What will lactic acid levels be like with a MODS stage 4 patient?

A

Lactate greater than 2 (hypoperfusion)

28
Q

Summarize stage 4 of MODS

A

Dependent on vasopressors being maxed out

Anuric

Ischemic colitis

Lactate greater than 2

29
Q

What will the systolic BP of your MODS patient be?

A

Systolic blood pressure will be less than 90

30
Q

What will MAP be for a MODS patient?

A

MAP will be dropped less than 70 despite resuscitation

31
Q

What meds do we use for cardiogenic shock?

A

Milrinone

Dopamine

Dobutamine

32
Q

What meds do we use for cardiogenic shock?

A

Milrinone

Dopamine

Dobutamine

The inotropes

33
Q

PaO2/FiO2 requirements for MODS?

A

They will need more and more oxygenation.

34
Q

Peep requirements for MODS?

A

It’ll be higher than 7.5 going up to 10-12. peep.

35
Q

What happens to renal/output in MODS?

A

Urine output will be less than the 0.5ml/kg/hr

CR will increase 50%

They will need to have that CRRT dialysis

36
Q

What will platelets be like in MODS?

A

Platelets below 100,000

PT/PTT will be upper limit of normal

  • need to pay attention due to anticoagulation therapy
37
Q

Metabolic labs for MODS

A

Low ph so below 7.30

High lactate greater than 2

38
Q

Hepatic labs for MODS

A

Liver enzymes greater than 2x upper limit of normal

Jaundice, scelera, anemia

39
Q

CNS assessment of MODS patients

A

Altered LOC

Decrease Glasgow coma scale

  • 15 is normal , 8 intubate
    • if you don’t know the baseline, find out from family

Adult Nursing 2.0 Exam 2 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions