Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Question 1

3 types of distributive shock

Answer 1

septic
anaphylactic
neurogenic

Question 2

refractory phase of shock

Answer 2

unresponsive to therapy and irrevresible

Question 3

causes of hypovolemic shock

Answer 3

bleeding
dehydration
burns
N/V
diarrhea

Question 4

causes of cardiogenic

Answer 4

MI
tamponade
drugs
cardiac
surgery

Question 5

obstructive shock cause

Answer 5

PE
tamponade
congentical
penuo

Question 6

MAP less than

Answer 6

60

Question 7

hypovolemia preload

Answer 7

decreased

Question 8

if preload is decreased in hypovolemia what happens to tissue perfusion

Answer 8

decreases

Question 9

hypovolemic shock nursing management

Answer 9

intake and output
weights

Question 10

cariogenic causes

Answer 10

failure of heart to pump effectively

Question 11

cardio what happens to SV and CO and this leads to

Answer 11

decrease SV and CO and this leads to impaired tissue perfusion

Question 12

cardio s/s
- resp

Answer 12

resp alk (imprve oxygen

Question 13

cardio
- heart

Answer 13

tachy

Question 14

cardio
- left ventricle failing

Answer 14

pulmonary edema
- crackles
- rhonci
- CVP/PCWP >15

Question 15

cardio
- severe symptoms

Answer 15

met acid
renal failure
cerebral hypo perfusion

Question 16

obstruction causes*****

Answer 16

cardiac tamponade
massive PE
tension pneumo

Question 17

s/s tamponade

Answer 17

muffled heart sounds
JVD
paradoxical pulse (decrease in BP with inhalation)

Question 18

s/s PE

Answer 18

right ventricular failure

Question 19

s/s tension

Answer 19

decrease or absent breath sounds on affected side
hypertesonant
tracheal deviation to unaffected side

Question 20

anaphylactic vessel

Answer 20

dilation

Question 21

anaphylactic s/s

Answer 21

vasodilation
increased capillary membrane permeability
decrease venous return

Question 22

anaphylactic CO

Answer 22

decreased

Question 23

treatment of anaphylactic

Answer 23

epi

Question 24

neurogenic s/s

Answer 24

profound hypotension (vasopressor)
BRADYCARDIA
poikilothermic (no sweating, inability to control temp)

Question 25

difference between sepsis and shock

Answer 25

organ involved = shock

Question 26

sepsis/shock s/s

Answer 26

hypotension
hypoxemia
change in LOC
met acid (increase lactic)
increase temp
decrease urine output

Question 27

Q sofa

Answer 27

altered mental status
fast rr
low bp

Question 28

what should we do before antibiotics

Answer 28

culture

Question 29

primary MODS

Answer 29

well defined insulin

Question 30

secondary MODS

Answer 30

widespread sustained systemic inflammation

Question 31

DIC will they bleed

Answer 31

yes

Question 32

DIC increased labs

Answer 32

PT
PTT
fibrinogen split products

Question 33

DIC decreased labs

Answer 33

platelets
fibrinogen

Question 34

cause of DIC

Answer 34

massive transfussion
hypothermia
trauma

Question 35

DIC treatment

Answer 35

platelet
FFP
heparin

Question 36

SIRS what is it

Answer 36

produce similar response to sepsis without an organism

Question 37

SIRS criteria

Answer 37

fever/hypotehrm
achy and hypo
tachypnea
elevate or decreased WBC