WEEK 3 : hypovolemic shock

Question 1

anaphylactic shock
immediate release of mediators ( histamine )
what are some early signs ?

Answer 1

anxeity
swelling of the airway
diff breathing
skin flushed, urticaria hives

Question 2

are hr and bp an early signs

Answer 2

yes this is true

Question 3

what are the late signs of anaphylactic shock

Answer 3

vs, increased serum lactate ( acidotic ) , anuria, ishcemic gut, dic

Question 4

anaphylactic shock : rn care
what is our first line treatment ?

Answer 4

epinephrine ( first line treatment ) treatment for the bp and heart rate

Question 5

what is the second like of treatment when it comes to anaphylactic shock : rn care

Answer 5

benadryl, bronnchodialators , corticosteroids

fluid replacement :
- 2 large bore IVS
- istonic crystalloid ( 0.9% NS )
-colloids ( albumin )
-blood

Question 6

are these true : when it comes to anaphylactic shock : rn care

establish cardaic monitoring - telemetry
frquent vs ( hr and bp) positoning
02
inset foley catheter
prepare for transfer to icu

Answer 6

tre

Question 7

why do we want to get a large bore ivs
?

Answer 7

we gotta get blood pressure up and making sure bp and oxygen check
watch them closely

Question 8

hypovolemic shock

low blood volume related to?

Answer 8

blood loss
vomiting, diarrhea, poor intake
fluid shift

Question 9

Hypovolemic shock early signs ( may survive with aggressive tx )

Answer 9

agitation
hr will increase, bp will decrease
decrease UO

Question 10

Hypovolemic shock : late signs ( will not likely survive )

Answer 10

cold clammy, mottled
bradycardia and decreased BP
increased lactate
anuria, ischemic guit, DIC

Question 11

what are the late signs ( will not likely survive ) for hypovolemic shock signs

Answer 11

cold clammy, mottled
bradycardia and decreased bp
increased lactate
anuria, ischemic gut, and DIC ( Disseminated intravascular coagulation)

Question 12

true or false. not enough circulating fluid volume
and they can become acidotic and pt is agitated their hr will increase , bp is also decreased

Answer 12

true

Question 13

why is lactate is high ?

Answer 13

acidotic

Question 14

Hypovolemic shock : RN care

Treat underlying cause - return OR ??

Answer 14

yes they are going to return to the OR

Question 15

Hypovolemic Shock: RN care

Answer 15

airway-oxygen/intubation
fluid replacement
- 2 large bore IVS
- isotonic crystalloids (0.9% NS)
- colloids ( albumin )
- blood

Question 16

• Frequent VS (HR & BP)
• Establish cardiac monitoring – telemetry
• O2
• Insert Foley catheter
• Prepare for transfer to ICU

this is typically seen as a hypovolemic shock : rn care ?

Answer 16

true

Question 17

is this true or false? may be bleeding internally ( bore IVs and a lot of fluids going in ) but may nee to return to or
treat underlying cause

need bp up and once again frequency vs

Answer 17

true