Septic Shock
Septic shock is an example of what type of shock category?
Distributive Shock
This is the priority fluid replacement for a patient in early hypovolemic shock from dehydration or fluid loss.
What is isotonic fluids such as normal saline and Lactated ringer's?
*If hemorrhagic, stop bleeding.
This assessment finding appears when the failing heart cannot pump effectively.
What are signs of pulmonary edema, crackles in the lungs, JVD, and increased CVP?
This class of drug is typically used to treat neurogenic shock
What is a vasopressor?
This lab value helps identify worsening sepsis.
What is Lactic acid/lactate?
This intervention, the first step in treatment of most shock, should be weighed carefully in cardiogenic shock.
What is a fluid bolus?
These are the two classic signs of neurogenic shock.
What is hypotension and bradycardia?
A patient with suspected sepsis has a fever, warm flushed skin, bounding pulses, tachycardia, and hypotension. This early phase is often called this.
What is warm shock?
The first medication you give in anaphylactic shock.
What is IM Epinephrine?
15-30% blood volume loss and BPs are still stable is this stage of hypovolemic shock
What is the Compensatory Stage or Stage 2?
The nurse should question a large rapid fluid bolus in cardiogenic shock because it can worsen this complication.
What is pulmonary edema?
This is the most common cause of neurogenic shock.
What is Trauma/Acute Spinal Cord injury?
The amount I should bolus a 5kg kid in septic shock.
What is 20mL/kg or 100 ml over 5-10 mins?
What you give to the pediatric patient in refractory hypotension.
What is NS/LR?
30-40% blood volume loss and BPs are beginning to dip is this stage of hypovolemic shock
What is the Progressive Stage or Stage 3?
Name one positive inotropic medication that can improve cardiac contractility.
What are Milrinone and/or Dobutamine?
This hourly measurement is a key indicator of kidney perfusion and overall tissue perfusion.
What is urine output?
The reason you watch a pediatric patient in the hospital for 12-24 hours after anaphylaxis.
What is biphasic reaction?
A patient in shock becomes restless, confused and difficult to arouse. This assessment finding indicates this serious probolem?
What is decreased cerebral perfusion or worsening tissue hypoxia?
A patient with cariogenic shock becomes severely short of breath with O2 sat 84% and frothy sputum. The nurse will begin these actions.
What is call for help, support respiratory system, ensure IV access, reduce preload (start diuretics), reduce afterload (nitroglycerin), and possibly start inotropes?
Neurogenic shock results from unopposed parasympathetic innervation due to injury to the sympathetic chain at this vertebral level.
What is T1-T4?