Shock
The stage of shock whereby body systems fail and it has a high mortality.
What is refractory or irreversible shock?
Unbalanced gas exchange in the lungs.
What is ventilation-perfusion mismatch?
Professional organization that specifically supports critical care practice.
What is AACN? or What is SCCM?
Used for absence of respiratory effort or when apnea is anticipated
What is intubation?
Oxygen saturation of the hemoglobin of arterial blood
What is SaO2?
This vital sign decreases as shock progresses.
What is Blood Pressure?
An indirect cause of ARDS.
Sepsis, trauma, DIC, overdose, eclampsia, TTP, pancreatitis
May cause the patient discomfort while in the ICU.
What is tubes, lines, noises, cares, etc. Only need 1.
Needed to verify ETT placement
What is Chest Xray or bilateral lung sounds?
Hemodynamic measurement of preload.
What is CVP?
Renal ischemia causes this in shock
What is low UOP
Supportive therapy for ARDS, name 2.
What is O2, ventilation, cardiac output support, prone positioning, sedation, paralytic (need only two)
Describe expectations of the critical care nurse.
What is Standards?
Ventilation rate, Tidal Volume, FiO2, Ventilation mode, PEEP
What are ventilator settings?
Ensures accuracy of high pressure hemodynamic lines.
What is zeroing line OR square wave test?
Widespread systemic inflammatory response. Associated with diverse disorders
What is SIRS?
ARDS is defined by predetermined physiologic criteria. Sudden onset of this criteria indicate ARDS, name 1.
What is PaO2 of 50 mm Hg or less (measured on room air) PaCO2 of 50 mm Hg or more pH of 7.35 or less (need only one)
Different disciplines working together to provide the best patient care.
What is collaboration?
Applies positive pressure at end of expiration. Decreases intra-pulmonic shunting. Decreases need for high FiO2 (opens alveoli)
What is PEEP?
Used as a non-invasive way to measure fluid response.
What is Passive Leg Rasie?
Characterized by normal or narrowing pulse pressure, but adequate enough to perfuse vital organs (heart, brain).
What is Compensatory stage?
Priority Nursing Diagnosis for a patient with ARDS.
Ineffective Gas Exchange
Process used to effectively communicate with Health Care Providers.
What is SBAR?
The mode of ventilation that delivers a set number of breaths but also allows the patient to initiate breaths.
What is SIMV?
Normal range for Systemic Vascular Resistance (SVR).
What is 770-1500 dynes/sec/cm?