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AH3 Shock Flashcards | StudBud
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AH3 Shock
AH3 Shock
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Answers
1
what does pulmonary artery (PA) pressure monitor?
fluid status
coronary occlusions
dysrrhythmias
left ventricle function
2
what are inotropic medications? select all
anti-diuretic hormone
dobutamine
norepinephrine
dopamine
3
what is the progressive dysfunction of 2 or more organ systems?
MODS
ARDS
SIRS
refractory stage of shock
4
what causes increases in preload?
increase CVP
deoxygenation
decrease in BP
tachycardia
5
What does CVP monitor?
pressures of the left side of the heart
fluid status
pulmonary pressures
systemic vascular resistance
6
what is the formula for cardiac output?
CO = HR X BP
CO = SV X BP
CO = HR/SV
CO = HR X SV
7
what test should be done before insertion of an arterial line of the radial?
Homan's
Chvostek's
Fick's
Allen's
8
if a pt presents with temp of 102, HR 126, RR 22, and a 10% bands increase what is this a precursor to?
SIRS
neurogenic
anaphylactic
sepsis
9
What should we monitor for when we have a pt with an arterial line? select all
distal ischemia
arteriospasms
cyanosis of the lips
arterial dissection
10
What nursing tool is at our disposal to aid in identifying at risk pts for SIRS?
CAM
MORSE
MEWS
RASS
11
what kind of distributive shock is happening when a pt has vasodilation due to a parasympathetic stimulation?
neurogenic
obstructive
anaphylactic
septic
12
What organism is most common in causing SIRS?
fungal
viral
gram (+) bacteria
gram (-) bacteria
13
in the refractory stage of shock what is happening? select all
pt is not responding to treatment
supportive care is delivered
severe organ damage
aggressive management is started
14
in cardiogenic shock what are the preferred treatments for increasing o2 supply and decreasing demand ? select all
CCRT
Plasmaphoresis
IABP
ECMO
15
what does a low mixed venous oxygen saturation reflect?
supply of o2 is higher than demand
o2 demand is exceeding o2 supply
o2 saturation of the hemoglobin is low
tissues not able to use o2
16
what stage of shock presents with increase in lactic acid, decrease UOP, no bowel sounds, cool clammy skin?
progressive
compensatory
initiation
refractory
17
if a pt presents with decreased afterload and is symptomatic what is the primary treatment?
decrease BP
decrease hr
vasodilate
vasocontrict
18
what stage of shock presents with mottled skin, oliguria, MAPs <65, and lethargy?
compensatory
refractory
progressive
initiation
19
what factors impact stroke volume? select all
preload
afterload
central venous pressure
contractility
20
what are common casues of anaphylactic shock? select all
meds
dander
insects
food
21
at what point must the transducer of a pressure monitoring device be level with to be accurate?
midaxillary and illiac crest
chin
4th intercostal space and midaxillary
5th intercostal space midclavicular
22
what is the leading cause of coronary cardiogenic shock?
cardiomyopathy
hypocalcemia
LAD infarction
cardiac tamponade
23
if a pt is exhibiting signs of increase in preload what are meds we would anticipate giving? select all
beta blockers
nitrates
diuretics
epinephrine
24
neurogenic shock presents with what s/s? select all
HTN
hypotension
hyperglycemia
dry warm skin
25
what is the goal of treatment when there is increased afterload?
increase systemic vascular resistance
decrease preload
give vasopressors
decrease systemic blood pressure
26
what meds would be anticipated to be ordered when a pt has decreased cardiac contractility? select all
catecholamines
inotropes
beta blockers
bronchodilators
27
What is afterload?
force the heart must eject against
% of blood being ejected from heart
pressure of the right ventricle
pressure of pulmonary artery
28
which shock presents with hypovolemia s/s due to blood volume pooling in the peripheral vessels?
obstuctive
distributive
cardiogenic
hypovolemic
29
if a pt has a IABP inserted what are the main goals of this treatment? select all
increase blood supply to coronaries
increase CO/CI
increase UOP
decrease CO2
30
what is priority treatment interventions in septic shock?
HR control
antibiotics
fluid resuscitation
vasoactive support
31
what type of shock presents with decrease venous return to the heart due to inadequate circulating volume?
neurogenic
hypovolemic
obstructive
septic
32
In hemodynamic monitoring, what does a Swan-Ganz catheter measure? select all
MAP
CO
PAWP
SVR
33
what are causes of obstrucive shock? select all
cardiac tamponade
PE
MI
tension pnuemothorax
34
what is it called when cellular metabolism happens in the absence of o2?
aerobic
anaerobic
Krebs cycle
glycogenesis
35
what are the key treament goals of care in shock? select all
blood glucose management
fluid management
nutritional management
vasoactive response management
36
anaphylactic shock presents when what s/s occur? select all
hypotension
resp. compromise
increased UOP
skin/mucosal irritation