Shock #1
Name the types of shock?
What is hypovolemic, distributive (anaphylactic, septic, neurogenic), obstructive, and cardiogenic
What is the medication of choice for anaphylactic shock?
What is epinephrine
What is the system that restores b/p when circulatory volume is diminished?
What is the RAAS (renin-angiotension-aldosterone system)
What are examples of catecholamines?
What is epinephrine and norepinephrine
What is the medical term for a little urine?
What is oliguria
This is the normal Central Venous Pressure (CVP) in cm H2O.
What is 2-8 cm H20?
What are the main medications used to treat shock?
What is Adrenergic drugs (vasopressors)
Normal WBC is what?
What is 5,000-10,000
What is the action of catecholamines?
What is neurotransmitters that stimulate responses via the sympathetic nervous system
What nursing intervention is important to decrease myocardial 02 consumption with cardiogenic shock?
bed rest; activity restriction
Name one cause of Obstructive shock?
What is cardiac tamponade, dissecting aneurysm, tension pneumothorax
What lab analysis is essential for evidence of hypoxemia and metabolic acidosis?
What is ABG
Defined as decreased oxygen reaching the cells.
What is hypoxia
When in an emergency situation, the safest blood type to infuse is what?
What is 0-
There are no antigens o the red blood cell.
How much blood the heart pumps out of a ventricle with each beat.
What is stroke volume (50-100 mL)?
What is the ratio of intravenous fluids prescribed to restore intravascular volume with shock?
What is a ratio of 3:1 - 3L of fluid is administered for every 1L of fluid lost
What is the first stage of shock?
What is compensation stage (body tries to stabilize itself)
What is the last stage of shock?
What is the irreversible stage (significant cells and organs are damaged, multiple organ failure occurs)
What is pulse pressure?
What is the difference between systolic and diastolic b/p
The most common cause of shock in children.
What is Hypovolemic shock?
What is airway, breathing, circulation, disability, and exposure?
What hormones promote fluid reabsorption and retention and assist in time of stress?
What is ADH and corticosteriod hormones
A medication that can reduce WBC migration, decreases inflammation, and typically must have a PPI prescribed along with it.
What is corticosteroids?
s/s of anaphylactic shock are what?
What is increased capillary permeability accompanied by swelling of the airway and subcutaneous tissues, hypotension and hives or an itchy rash
What is the second stage of shock?
What is the decompensation stage (occurs as compensatory mechanisms fail)