Show:
Creepy Crawlers
Dry Dry Dry
Pump failure
Oh the Nerve
All choked up
100
What is the cause of septic shock?
Microorganisms, mainly bacteria.
100
Describe how to initially meet the treatment goal of restoring intravascular volume in hypovolemic shock
Give IVF boluses with crystalloids
100
What is the primary problem causing cardiogenic shock?
Heart pump failure
100
Which autonomic nervous system prevails to cause the issue of neurogenic shock?
Parasympathetic nervous system
100
What causes anaphylactic shock and give some common examples?
Severe allergic reaction. Peanuts, eggs, milk, bee stings, latex, antibiotics such as PCN or Sulfa
200
What is the best defense to prevent or reduce the incidence of sepsis?
Hand hygiene
200
What position will help with redistributing fluid volume in hypovolemic shock?
Modified Trendelenburg
200
What is the first goal to meet for the patient in cardiogenic shock?
Improve oxygenation to the heart
200
Describe 2 causes of neurogenic shock
Spinal cord injury, spinal anesthesia, medications
200
Name 2 life threatening manifestations that occur with anaphylactic shock.
Profound hypotension, circulatory failure, laryngeal edema, bronchospasm.
300
Which symptom is most commonly the first symptom to manifest in an elderly patient with sepsis?
Confusion
300
What nursing assessment finding will tell you that giving more IVF boluses is contraindicated?
Crackles in the lungs
300
What is the action of Dobutamine or Dopamine in the treatment of cardiogenic shock?
These medications have an inotropic effect and improve cardiac contractility and raise the HR to increase CO for better tissue perfusion
300
What happens to the heart rate in neurogenic shock?
Bradycardia
300
Name 2 medications given for an anaphylactic reaction and their mechanism of action.
Epinephrine- to restore vascular tone and raise BP Benadryl- anti-histamine and decrease edema Proventyl- to reverse bronchospasm
400
Early Goal Directed Therapy for sepsis recommends which intervention first to increase intravascular volume to improve tissue perfusion?
IVF with crystalloids- either LR or NS
400
What nursing intervention will help prevent hypothermia when giving massive amounts of IVF boluses?
Warm the fluids
400
What nursing actions, besides administering oxygen, can help promote oxygenation to the heart muscle?
Conserve energy and prompt treatment of CP or angina
400

Name 2 methods to treat neurogenic shock? 

IV Fluids, vasopressors, atropine
400
What is one nursing intervention to prevent an anaphylactic reaction in a patient?
Pay close attention to allergies. Communicate new allergies and place them on the EHR. Teach patient to wear allergy ID bracelet When administering any new medications, watch for allergic reaction, treat them and document them. Follow protocol with blood products to ensure safe administration.
500
What labwork is important to obtain before administration of antibiotics?
Blood cultures
500
What are two causes of hypovolemic shock?
Bleeding, dehydration, fluid shift (ex: ascites)
500
What is the role of antiarrhythmic medications for the patient in cardiogenic shock?
Stabilize the heart rhythm
500
What happens to the skin temperature initially in neurogenic shock and why?
It becomes warm due to the vasodilation.
500
What 2 pulmonary clinical manifestations might the patient display with an anaphylactic reaction?
Shortness of breath, wheezing, rhonchi, rhinitis, respiratory failure