Hypovolemic Shock
This is the earliest vital sign change in hypovolemic shock
Tachycardia
Cardiogenic shock is caused by a failure of what?
The heart pumping ability
Early septic shock often presents with this skin appearance?
Warm and flushed
Neurogenic shock is most often caused by injury to this area of the body?
Spinal cord
This is the FIRST and MOST important medication to give in anaphylaxis?
IM epinephrine
A patient with vomiting/diarrhea for 3 days is weak with dry mucous membranes. What type of hypovolemia is this?
Non-hemorrhagic hypovolemic shock
This assessment finding appears when the failing heart cannot pump effectively
Signs of pulmonary edema, crackles in the lungs, JVD.
What is the first intervention in septic shock?
AGGRESSIVE IV fluid resuscitation.
Unlike other types of shock, neurogenic shock often shows this heart rate abnormality?
Bradycardia
This airway sound signals a worsening reaction and impending obstruction?
Stridor
The FIRST nursing priority in hypovolemic shock is this
If hemorrhagic, stop bleeding
Give isotonic fluids
True or false: You should give multiple IV fluid boluses in cariogenic shock?
BIG FALSE!
Fluids can make it worse!
Broad-spectrum antibiotics
The nurse should do this FIRST when a patient shows signs of neurogenic shock after trauma?
STABILIZE the spine!
True or false: You should call the provider before administering epinephrine.
False. Grab that Epi Pen and administer!
Your post-op patient's dressing is rapidly filling with blood, their BP is falling. What should you do first?
What medication class improves the heart by increasing contractility?
Inotropic medications
Name one lab that helps identify worsening sepsis
Lactic acid/lactate
Because vessels dilate widely, this type of fluid loss occurs even without bleeding?
After giving epi, the nurse should start this type of IV therapy to support blood pressure?
Istonic IV fluids like NS
These two assessment findings together indicate the patient is entering late hypovolemic shock?
Hypotension and altered mental status
A patient with cariogenic shock becomes severely short of breath with O2 sat 84% and frothy sputum. What is the first action?
Increase O2, give diuretics.
When fluids are not enough to increase blood pressure, the nurse anticipates this class of medications?
Vasopressors
Which medication may be needed if bradycardia in neurogenic shock becomes severe?
Atropine
Name two common early symptoms of anaphylaxis before airway swelling occurs?
Itching, hives, flushing, anxiety, sneezing