shock - simple nursing

Question 1

initial phase of shock

Answer 1

too little O2 in blood, but no symptoms yet

Question 2

compensatory stage - stage 2- what 3 symptoms?

Answer 2

tachycardia, tachypnea, SNS turns on, and RAAS system starts

Question 3

progressive stage - stage 3- main symptom?

Answer 3

cold and clammy skin - NOT LOW 02 or tachycardia

Question 4

hemmoragic shock is

Answer 4

hypovolemic shock

Question 5

septic shock - what happens

Answer 5

cytokine release causes massive dilation and leaking from capillaries

Question 6

septic shock - main symptoms

Answer 6

low BP, cool clammy skin, delayed cap refill. confusion and disoriented. High WBC, temp high in the beginning, then low.

Question 7

neurogenic shock

Answer 7

T5 or higher

Question 8

SNS does what?

Answer 8

speeds up nervous system and causes vasoconstriction

Question 9

neurogenic shock - PNS

Answer 9

only the parasympathetic is working, which puts the brakes on nervous system and causes vasodilation

Question 10

neurogenic shock - symptoms

Answer 10

bradycardia (parasympathetic), low BP, skin warm pink and dry (bc blood pools)

Question 11

neurogenic shock leads to decreased

Answer 11

CO

Question 12

neurogenic shock - treatment

Answer 12

normal saline .9%

Question 13

hypovolemic shock - symptoms

Answer 13

hypotension, tachycardia, low central venous pressure - less than 2 and your client is through

Question 14

cold clammy skin - what stage?

Answer 14

progressive

Question 15

hypovolemic shock - skin?

Answer 15

cold clammy skin

Question 16

hypovolemic shock - HOB?

(get the blood to the brain, hypo)

Answer 16

lower it immediately

Question 17

hypovolemic shock - when to give IV fluids?

Answer 17

before vasopressors!!!

Question 18

hypovolemic shock - meds

Answer 18

epi and dopamine - keeps the meds working for a long time to keep bp up

Question 19

cardiogenic shock - sign

Answer 19

severe drop in BP

Question 20

cardiogenic shock - meds (double Ds for my heart)

Answer 20

dopamine and digoxin (inotropic meds)

Question 21

inotropic memory trick

Answer 21

I know inotropic is very forceful