SHOCK

Cardiogenic Shock

100

In Cardiogenic shock, does the patient experience bradycardia or tachycardia?

Tachycardia

usually rapid and weak pulse

200

What is a "narrow pulse pressure"?

A narrow pulse pressure occurs when the difference between the top (systolic) and bottom (diastolic) blood pressure numbers is small, specifically less than 25% of the systolic reading

300

Your patient is going to an angioplasty. He is due to clopidogrel (plavix), as the nurse would you hold or administer this drug?

Confirm with the LIP, but studies show a loading dose of clopidogrel improves angioplasty outcomes.

400

What is the goal in treating hypovolemic shock?

Management focuses on stopping the loss of fluid and restoring the circulating volume.

500

What is the purpose of a balloon pump?

A short-term, mechanical cardiac assist device that helps a weak heart pump blood, reducing its workload by inflating and deflating in sync with the heart's rhythm.

OTHER SHOCKS (but still shocking)

100

In Anaphylaxis, does vasoconstriction or vasodilation occur?

vasodilation

Anaphylaxis causes severe, systemic vasodilation(widening of blood vessels) due to a massive release of histamine and other mediators from mast cells and basophils

200

In Neurogenic Shock do you experience bradycardia or tachycardia?

Bradycardia

May be treated with Atropine

300

What does MAP signify?

It signifies the average pressure pushing blood into tissues, with a value ≥ 65 mmHg often considered necessary to maintain adequate organ perfusion.

400

What is the primary drug used in anaphylaxis?

Epinephrine 

500

Why is temperature dysregulation a risk in neurogenic shock?

damage to the spinal cord or brain disrupts sympathetic nervous system pathways, leading to poikilothermia, where the body cannot regulate temperature and instead adopts the ambient environment's temperature.

Things to know

100

What type of fluid is 1st line for septic shock patients?

Isotonic crystalloids (normal saline)

200

How do you expect kidney injury to be displayed in patients with shock?

Decreased urine output

300

What is third spacing?

Results when fluid volume moves out of the vascular space into extravascular space

400

Your patient is thought to be in septic shock, while looking a the chart you notice new orders have been placed. 1) Vancomycin 1 gm 1x. 2)Blood Cultures x2 sets. 3) Insert Foley catheter. 4) 1L NS Bolus 1x.

Your patient is not complaining of any pain or discomfort. The vitals are BP 93/52 (MAP 57), HR 106, sPo2 93% RA, RR 20. 

In which order would you complete all the tasks need to stabilize your patient/complete orders?

1) 1L NS bolus 1x

2) Blood Cultures x2 Sets

3) Vancomycin 1gm 1x

4) Insert Foley catheter 

500

What are Inotropes?

Increase contractility of the heart and therefore Cardiac Output