Hypovolemic Shock
This is the earliest vital sign change in hypovolemic shock
What is Tachycardia?
The nurse should question a large rapid fluid bolus in cardiogenic shock because it can worsen this complication.
What is pulmonary edema?
Early septic shock often presents with this skin appearance.
What is warm and flushed?
Neurogenic shock is most often caused by injury to this area of the body.
What is the Spinal cord?
This is the FIRST and MOST important medication to give in anaphylaxis?
What is IM epinephrine?
A patient with vomiting/diarrhea for 3 days is weak with dry mucous membranes shows this type of hypovolemia is this.
What is Non-hemorrhagic hypovolemic shock?
Name one assessment finding that appears when the failing heart cannot pump effectively, and congestion begins to appear.
What are signs of pulmonary edema, crackles in the lungs, JVD, and increased CVP?
The amount I should bolus a 5kg kid in septic shock.
What is 20mL/kg or 100 ml over 5-10 mins?
Unlike other types of shock, neurogenic shock often shows this heart rate abnormality.
What is Bradycardia?
This airway sound signals a worsening reaction and impending obstruction.
What is Stridor?
This is the FIRST nursing priority in hypovolemic shock.
What is give isotonic fluids?
If hemorrhagic, stop bleeding
True or False: You should never give a fluid bolus to a cardiogenic shock patient.
False, some fluid can be good. Just be cautious.
After fluids, cultures must be obtained before giving this type of medication.
What are broad-spectrum antibiotics?
Neurogenic shock results from unopposed parasympathetic innervation due to injury to the sympathetic chain at this vertebral level.
What is T1-T4?
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, and their BP is falling. The nurse performs this action first.
What is apply direct pressure to the bleeding site?
Name one positive inotropic medication that can improve cardiac contractility.
What are Milrinone and/or Dobutamine?
This is a lab value that helps identify worsening sepsis.
What is Lactic acid/lactate?
Because vessels dilate widely, this type of fluid loss occurs even without bleeding.
What is venous blood pooling due to the sudden loss of sympathetic tone leading to widespread vessel relaxation and relative hypovolemia?
After giving epi, the nurse should start this type of IV therapy to support blood pressure.
What are Isotonic IV fluids like NS/LR?
These two assessment findings together indicate the patient is entering late hypovolemic shock.
What are severe hypotension and acute altered mental status?
A patient with cariogenic shock becomes severely short of breath with O2 sat 84% and frothy sputum. Please name two interventions for this patient.
Call for help, support respiratory system, ensure IV access, reduce preload (start diuretics), reduce afterload (nitroglycerin), and possibly start inotropes?
When fluids are not enough to increase blood pressure, the nurse anticipates this class of medications.
What are Vasopressors?
This medication may be needed if bradycardia in neurogenic shock becomes severe.
What is Atropine?
The reason you watch a pediatric patient in the hospital for 12-24 hours after anaphylaxis.
What is the Biphasic Reaction?