What is the earliest sign of shock?
What is tachycardia?
What is administered first during anaphylactic shock?
What is epinephrine (Adrenalin)?
What increases a patient's risk of developing sepsis?
What is immunocompromised, age, comorbidities, enviroment?
What is a an example of a closed injury?
What is an injury that does not break the skin- baseball bat?
What are examples of hypovolemic shock?
What is blood loss, heat stroke, excessive V/D, burns?
How long can Kidneys go with a shunted blood supply before damage is done?
What is one hour?
How long can brain cells go without oxygen before they begin to die?
What is 4 minutes?
If a patient received an open injury to the skin and presents to the ER- what should the nurse question- regarding immunizatons?
What is - when was your last tetanus shot?
What is a major contributing factor for the development of sepsis?
What is infection?
What labs indicate a patient has liver damage?
What is an INCREASED alt/ast (lfts). Increased ammonia level, decreased plasma proteins, increased bilirubin level?
What are appropriate frost bite nursing interventions?
What is elevate extremity, loose dry sterile gauze, do not rub, do not walk on or use affected extremity?
What are examples of distributive shock?
What is septic shock, anaphylactic shock, and neurogenic shock?
What are examples of obstructive shock?
What is tension pneumothorax, Hemothorax, cardiac tamponade, PE, tumors?
What is the causative agent behind the development of metabolic acidosis?
What is excessive anaerobic cell metabolism?
As a result of the fluid loss involved with heat exhaustion or heat stroke what serum lab value should be monitored?
What is sodium levels could drop?
When a person survives or witnesses a tragic event what condition may develop?
What is post traumatic stress disorder?
During shock what class of medications should the nurse avoid giving the patient?
What is opioids?
What are s/s of anaphaylactic shock?
What is wheezing, angioedema, muscle twitching, shortness of breath?
What are examples of cardiogenic shock?
What is patients that have a MI, cardiomyopathy, dysrhythmias, myocarditis, endocarditis, cardiac valve defects?
Give the class 3 examples of reasons to call a rapid responses?
Give the class 3 examples of when to notify the charge nurse or HCP?
What is the big difference?
Stable versus unstable
Use ABCs to prioritize care
Always collect assessment data!