Shock
Manifestations of Shock
UTI's
The Kidneys
Potpourri
100

MI is the most common cause of this type of shock.

What is cardiogenic shock

100

Tachypnea, tachycardia, fever, and hypotension.

What is septic shock

100

The most common pathogen that causes UTI's.

What is e. coli.

100

A child has recent history of strep throat and presents with generalized edema, hypertension, and oliguria. What is the nurse concerned for?

What is acute postreptococcal glomerulonephritis.

100

Normal ranges for creatinine and BUN.

Creatinine 0.6-1.3mg/dL

BUN 10-20mg/dL

Note: some hospitals or books may have slightly different ranges

200

Can occur with a spinal injury that results in massive vasodilation and blood pulling.

What is neurogenic shock.

200

Profound hypotension, hypoxemia, failure of one organ system that affects another.

What is refractory shock.

200
Common symptoms of lower UTI's.

What are hesitancy, intermittency, post void dribbling, urinary retention or incomplete emptying, dysuria, urinary frequency, urgency, incontinence, nocturia, nocturnal enuresis

200

Kidney and lung damage from antibody binding causes inflammatory reaction and complement activation, causes flu like symptoms.

What is Goodpasture Syndrome.

200

Name three medications given to lower high potassium levels.

What are kayexalate, insulin, and calcium gluconate.

300

Systemic inflammatory response that leads to end organ damage.

What is Septic Shock

300

The stage metabolism changes at cellular level from aerobic to anaerobic which results in lactic acid accumulation.

What is the initial stage of shock.

300

Inflammation of the renal parenchyma and collecting system.

What is acute pyelonephritis.

300

Urinary output less than 400 mL/day

Occurs within 1 to 7 days after injury

Lasts 10 to 14 days (longer Ă  poor prognosis)

Urinalysis—casts, RBCs, WBCs, protein

Specific gravity 1.010

Osmolality 300 mOsm/kg

What is the oliguric phase of AKI.

300

The symptoms abdominal pain, rebound tenderness, or cloudy effluent with increased WBCs or bacteria, maybe have fever are indicative of.

What is peritonitis.

400

Results from physical obstruction that blocks cardiac output.

What is obstructive shock

400

Flushing, pruritis, and urticaria. 

What is anaphylactic shock.

400

Fever, nausea, chills, flank pain/CVA tenderness

What is pyelonephritis

400

GFR <60 mL/min/1.73m2  for longer than 3 months

What is ESRD.

400

The initial volume replacement in most types of shock.

What is 0.9% NaCl

500

Increased capillary permeability causes fluid to leak outside of the vascular space as a result from an allergic reaction.

What is Anaphylactic Shock.

500

Anxiety, tachypnea, decreased SV, increased CO, and decreased urinary output.

What is hypovolemic shock

500

Name 3 antibiotics given for uncomplicated UTI's.

What are Bactrim, nitrofurantoin, and ampicillin

500

Urea crystalizes on skin

BUN > 200 mg/dL

What is uremic frost.

500

What is the calculation used for fluid resuscitation for those with hypovolemic shock from sepsis?

What is 30ml/kg.