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NUR 347 ( LATEST 2024 / 2025 ) EXAM 2 | WITH 100% VERIFIED ANSWERS
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NUR 347 ( LATEST 2024 / 2025 ) EXAM 2 | WITH 100% VERIFIED ANSWERS
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NUR 347 Exam 21. shock
Answer
the lack of adequate circulation or blood supply causing inadequate oxygen delivery to vital
organs causing an inability to meet cellular metabolic needs
2. shock stages
Answer
compensated, progressive, irreversible
3. Compensatory stage of shock
Answer
-body attempts to compensate for damage
-Respiratory alkalosis- high RR
-body shunting blood
-skin is cold and clamy, urine output decreases, confusion
4. Progressive stage of shock
Answer
-when compensatory mechanisms fail. organ func- tions begin to deteriorate
-MAP below 65
-intubate
-Weak thready pulse Excessively low BP Edema
,Dysrhythmia
5. Irreversible stage of shock
Answer
no longer responding to treatment
6. hypovolemic shock causes
Answer
a. Internal bleeding, burns, long bone fractures
b. Surgery, vomit, DI, diarrhea, sweating, trauma
7. hypovolemic shock
Answer
A condition in which low blood volume, due to massive internal or external bleeding or
extensive loss of body water, results in inadequate perfusion.
8. Hypovolemic shock treatment
Answer
-Aggressive fluid replacement (warm IV fluids)
-blood products
-fix the underlying problem
-give oxygen
-monitor all labs
9. Hypovolemic shock manifestations
, Answer
-hypotension
-tachycardia
-low central venous pressure
-cold and clammy skin
10. cardiogenic shock
Answer
Shock caused by inadequate function of the heart, or pump failure.
11. cardiogenic shock causes
Answer
-Myocardial infarction (MI)
-pericardial tamponade
-Valve disorders
-Arrhythmia
12. Pericardial tamponade
Answer
too much fluid around the heart so the heart cannot fill
13. cardiogenic shock manifestations
Answer
can be L or R sided
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