Labs
Normal sodium range
135-145
What does shock result from?
An imbalance of oxygen delivery and oxygen consumption.
What class of medication is digoxin? What assessment should be completed prior to giving this medication?
Cardiac glycosides: HR >60
What mask provides the highest concentration of oxygen to a spontaneously breathing patient?
Non-rebreather mask
to assess the effectiveness of a vasodilator administered to a client, what should the nurse assess?
What is Blood pressure, vasodilators lower blood pressure
Lab that measures extent of heart failure. This protein is released in response to changes in pressure inside the heart.
BNP= Brain natriuretic peptide
What is a DASH diet?
Dietary Approaches to Stop Hypertension- designed to lower BP without medication by:
-reducing sodium
-eating a variety of foods rich in nutrients
-cut back on foods high in sat fats, cholesterol, and trans fat
-Eat more whole-grains, fish, poultry, and nuts
-Limit sweets, sugary drinks, and red meats
Your patient is being discharged on spironolactone, what education should you provide your patient?
-Monitor weight
-Monitor blood pressure
-Monitor potassium intake
-DO not skip medication, take on daily basis
-Take in the morning
Process by which oxygenated capillary blood passes through body tissues
Perfusion
Which assessment finding would alert the nurse that the patient is experiencing issues with perfusion?
1. BP 100/60
2. Apical HR 80, radial HR 68
3. RR of 22
4. Temp: 101.2
2. Apical HR 80, radial HR 68
What is the treatment for obstructive shock?
Treatment is aimed at cause --> PE's, tension pneumo ,etc
If systemic vascular resistance is decreased, what happens to the blood pressure?
It is decreased
Your patient, who takes daily Digoxin, comes to the clinic with GI upset, N/V, changes in vision (blurry and seeing halos around bright objects), and is having palpitations. What is occurring?
Digoxin toxicity
-Life-threatening condition, can induce arrhythmia and death
What are the three types of shock that are classified under distributive shock?
Anaphylactic
Neurogenic
Septic
List 5 assessments in a head to toe that would tell the nurse if the patient is having proper perfusion.
1. VS- full set
2. lung sounds
3. LOC
4. peripheral pulses/ cap refill
5. Urine output
6. Skin
What type of shock is due to ineffective cardiac function?
Cardiogenic
Your patient has been diagnosed with septic shock, what are your priority interventions (name at least 4)
1- fluid resusitatiokn
2. labs - procalcitonin, lactate, ABGs, WBC, blood cultures, etc.
3. antibiotics
4. Oxygen therapy
You are concerned your patient is experiencing septic shock. Name 5 labs that would be completed for the patient.
WBC, lactate, procalcitonin, ABGs, blood cultures, CBC, CMP
What is are caring for a patient admitted with heart failure. The patient's vital signs are: BP 120/60, HR 64, R 18, T 97.6°F. You auscultate coarse crackles bilaterally and palpate 3+ edema to the lower extremities. What do you suspect in occurring with this patient? And what is the treatment for this?
Excessive fluid overload
Tx --> diuretics, fluid restrictions