Brainscape's Knowledge GenomeTM

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


See full index

N480 Critical Care > Week 7 Shock, Sepsis, & DIC > Flashcards

Week 7 Shock, Sepsis, & DIC Flashcards

1
Q

Shock

A

↓Tissue perfusion => No O2 or nutrients delivered to tissues => CELL DEATH => Release of inflammatory chemicals

  • Endgame for all types of shock?
  • Priority nursing assessments
  • Planning/Goals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

SIRS/Sepsis

A

Systemic inflammatory response => Vascular damage; release of cytokines & free radicals =>
Vasodilation & edema

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

Multiple organ dysfunction syndrome (MODS)

A

Failure of ≥2 organ systems

  • Results from?
  • Mortality rate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Shock - Pathophysiology

A
  • Stage 1: Compensated non-progressive
  • Stage 2: Decompensated progressive
  • Stage 3: Irreversible refractory

+ BP
+ Compensatory mechanism
+ Body system
+ Tx

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

Shock & MODS - Poor perfusion assessments & interventions

A
  • S/S & interventions of following
    + Heart
    + Lungs
    + Renal
    + Skin
    + Neuro
    + GI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cardiogenic shock

A
  • Cause
  • Pathophysiology
  • Assessment
  • Goals & interventions
  • Dx/Labs
  • Other Tx
  • Nursing considerations
  • Treatment procedures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Titratable IV med for Cardiogenic shock: Sodium nitroprusside

A
  • Use
  • Action
  • Goal
  • Evaluation
  • Nursing considerations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Titratable IV med for Cardiogenic shock: Dobutamine

A
  • Our go-to med
  • Use
  • Action
  • Goal
  • Evaluation
  • Nursing considerations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hypovolemic shock

A
  • Main issue
  • Causes
  • Pathophysiology
  • Assessment
  • Diagnostics
  • Goal
  • Interventions
  • Evaluation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hypovolemic shock med: Isotonic fluid

A
  • Initial volume replacement in most types of shock
  • 0.9% NaCl, normal saline solution (NSS), LR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hypovolemic shock med: Hypertonic fluids

A
  • Volume expansion (=> pulls fluid from tissue into blood vessels)
  • 1.8%, 3%, 5% NaCl
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hypovolemic shock med: Blood or blood products

A
  • Replaces blood loss & ↑O2 carrying capability
  • PRBCs, fresh frozen plasma (FFP), PLTs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hypovolemic shock med: Colloids

A
  • ↑Plasma colloid osmotic pressure & rapid volume expansion
  • Human serum Albumin (5% or 25%)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Obstructive shock

A
  • Main issue
  • Causes
  • Pathophysiology
  • Assessment
  • Dx/Labs
  • Interventions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Distributive shock

A
  • Pathophysiology
  • Types of distributive shock
  • Assessment
  • Dx/Labs
  • Goal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Titratable drip med for Distributive shock: Norepinephrine, Dopamine

A
  • Action
  • Use
  • 5 things needed prior to admin
  • Nursing consideration
  • Evaluation
  • Contraindication
  • Complication for high-dose vasopressors for prolonged time
17
Q

Septic shock

A
  • Rx factors
  • SIRS
  • Key Dx test
  • Stages
    + SIRS
    + Sepsis
    + Septic shock
  • Pathophysiology
  • Nursing interventions for sepsis
  • Treatments
  • Prevalence/Incidence of sepsis
18
Q

Shock meds: Inopressors

A

Nor/Epinephrine & Dopamine

  • Drugs w/ both vasopressor & inotropic effects (sometimes called inopressors)
  • Works on alpha & beta-1 receptors
19
Q

Shock med: Pure vasopressors

A

Vasopressin, Angiotensin II, Phenylephrine

  • Pure vasopressors w/ no effect on cardiac contractility
  • C/I for cardiogenic shock
  • Only works on alpha receptors (=> vasoconstriction)
20
Q

Shock med: Purely inotropes

A

Milrinon, Isoproterenol, Dobutamine

  • Purely inotropes that increase cardiac contractility
  • Only used for contractility (i.e cardiogenic shock)
  • C/I for septic pt’s
21
Q

Anaphylactic shock

A
  • Main issues
  • Common causes
  • Pathophysiology
  • Assessment
  • Intervention/Medication
  • Pt teaching
  • Collaborative care
22
Q

Neurogenic shock

A
  • Causes
  • Pathophysiology
  • Assessment
  • Interventions
23
Q

Disseminated intravascular coagulopathy (DIC)

A

Systemic activation of blood coagulation => Microvascular thrombi, severe clotting factor depletion, & bleeding

  • Complication
  • Pathophysiology
  • Incidence
  • A/S clinical conditions
  • Labs
  • Diagnostics
  • Expected findings
  • Tx aims
  • Nursing interventions
  • Effective outcomes

N480 Critical Care (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions