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N6320 Med Surg 1 Exam 3 questions with complete solutions 2024
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N6320 Med Surg 1 Exam 3 questions with complete solutions 2024
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N6320 Med Surg 1 Exam 3 questions withcomplete solutions 2024
Shock j- jANS✓✓-condition jin jwhich jtissue jperfusion jis jinadequate jto jdeliver
joxygen jand jnutrients jto jsupport jvital jorgans, jcellular jfunction
shock jaffects j- jANS✓✓-all jbody jsystems
Types jof jShock j- jANS✓✓-Hypovolemic
Cardiogenic
Septic
Neurogenic
Anaphylactic
Undifferentiated
obstructive
Distributive jShock j- jANS✓✓-septic
neurogenic
anaphylactic
obstructive jshock j- jANS✓✓-blockage, jpressure, jobstruction jon jheart jor jlungs
jand jimpedes jblood jflow
examples jof jobstructive jshock j- jANS✓✓-PE, jtension jpneumothorax, jcardiac
jtamponade
what jis jthe jleast jcommon jtype jof jshock j- jANS✓✓-obstructive jshock
hypovolemic jshock j- jANS✓✓-shock jstate jresulting jfrom jdecreased
jintravascular jvolume jdue jto jfluid jloss
examples jof jhypovolemic jshock j- jANS✓✓-hemorrhage, jsevere jdehydration
Cardiogenic jshock j- jANS✓✓-shock jstate jresulting jin joverwhelming jinfection
jcausing jMI
When jdoes jcardiogenic jshock joccur? j- jANS✓✓-quickly jafter jMI
what jis jthe jmost jcommon jreason jto jdie jpost jMI j- jANS✓✓-cardiogenic jshock
,Septic jshock j- jANS✓✓-circulatory jshock jstate jresulting jfrom joverwhelming
jINFECTION jcausing jrelative jhypovolemia
Septic jshock jcauses j- jANS✓✓-systemic jvasodilation j--> jhypovolemia
which jtype jof jshock jhas ja jhigh jrisk jof jmortality j- jANS✓✓-septic jshock
Neurogenic jshock j- jANS✓✓-shock jresulting jfrom jLOSS jOF jSYMPATHETIC
jTONE jcausing jrelative jhypovolemia
what jcauses jneurogenic jshock j- jANS✓✓-dramatic jbrain jor jspinal jcord jinjury
anaphylactic jshock j- jANS✓✓-circulatory jshock jstate jresulting jfrom jsevere
jALLERGIC jREACTION jproducing joverwhelming jsystemic jvasodilation
undifferentiated jshock j- jANS✓✓-unknown jcause
most jcommon jtypes jof jshock j- jANS✓✓-1. jseptic
2&3. jcardiogenic jand jhypovolemic
4%5. janaphylactic jand jneurogenic
___ jhour jwindow jto jbegin jshock jtherapy jto jreduce jmortality j- jANS✓✓-3
activation jof jhomeostatic jresponse j- jANS✓✓-increased jsympathetic jresponse
j(HR, jBP)
increased jRR j(for jo2)
increased jcatecholamines jand jcortisol j(increase jglucose, jmetabolism)
increased jRAAS j(increased jUO)
early jsigns jof jshock j(heart) j- jANS✓✓-increased jHR j(vasoconstriction) j(rapid
jthready)
which jtype jof jshock jdo jwe jsee jbradycardia j- jANS✓✓-neurogenic jshock
early jsigns jof jshock j(skin) j- jANS✓✓-cool, jclammy, jpale/ashen
early jsigns jof jshock j(kidneys) j- jANS✓✓-decreased jUO
early jsigns jof jshock j(gi) j- jANS✓✓-diminished jbowel jsounds, jabdominal
jdiscomfort
early jsigns jof jshock j(neuro) j- jANS✓✓-confusion**,
agitation, janxiety, jrestlessness, jsense jof jimpending jdoom
early jsigns jof jshock j(o2) j- jANS✓✓-hypoxia
, metabolic jacidosis j--> jcompensatory jrespiratory jalkalosis j(increased jRR)
progressive jstages jof jshock j- jANS✓✓-BP jand jMAP jdecrease
progressive jstages jof jshock j(mental jstatus) j- jANS✓✓-further jdeterioration j
unresponsive
unable jto jarouse jpt
progressive jstages jof jshock j(resp) j- jANS✓✓-lungs jbegin jto jfail
decreased jo2sat
CO jincrease
alveoli jcollapse
labored/irregular jbreathing
pulmonary jedema
progressive jstages jof jshock j(cardiac) j- jANS✓✓-dysrhythmias
PVCs
ischemia
progressive jstages jof jshock j(renale) j- jANS✓✓-MAP j<70
oliguria
acute jrenal jfailure
Disseminated jIntravascular jCoagulation j(DIC) j- jANS✓✓-cause jor jcomplication
jof jshock
damaged jendothelial jcells jactivate jcoagulation jcascade
little jclots jall jover jthe jblood
risk jof jDIC j- jANS✓✓-risk jof jbleeding
may jturn jinto jnecrosis
signs jof jDIC j- jANS✓✓-purpura
petechiae
DIC jlabs j- jANS✓✓-decreased jplatelet jcount
Higher jPT jand jaPTT j(longer jto jclot)
DIC jTx j- jANS✓✓-Fresh jFrozen jPlasma
plasmapheresis
Fibrinogen
Heparin
Irreversible jstage jof jshock j- jANS✓✓-Multiple jorgan jdysfunction jsyndrome
jprogresses jto jcomplete jorgan jfailure
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