Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Drugs for shock

Pharm exam 3

QuestionAnswer
define shock decreased blood supply to tissue
clinical manifestations of shock decreased BP, increase HR, increased RR, cool extremities, lowered urinary output, may or may not be conscious
6 types of shock hypovolemic, cardiogenic, distributive, anaphylactic, neurogenic, septic
define hypovolemic shock blood loss or fluid shifts
define cardiogenic shock pump failure
define disributive shock vasodilatation
define anaphylactic shock allergic response
define neurogenic shock lack of SNS stimulation
define septic shock infection (bacteria/fungi)
4 nursing considerations for patients with shock assess condition, treat cause, positioning, medicaitons
example of treating cause of shock (ie: blood loss) stop hemorrhage, start IV, push fluids, give blood
example of treating cause of shock (ie: septic) give antibiotics
positioning to help with shock feet up, except HOB elevated with cardiogenic shock
What positioning is used in cardiogenic shock? HOB elevated
general medications used in shock adrenergic agents (vasopressors); always given on a pump, close monitoring of patient
How are medicaitons given for shock? always on a pump
prototype medication for shock epinephrine (adrenalin)
what type of medication is epinephrine (Adrenalin)? potent inotropic = cardiac simulation
Therapeutic use for epinephrine (adrenalin) usually for severe anaphylactic shock, allergy (not cardiac shock or cardiac dysrhythmias)
Kinetics of epinephrine (adrenalin) IV, SC (Epi-pen), inhalation
dynamics of epinephrine (adrenalin): onset immediate, peak 2-5 (minutes), duration 5-10 (minutes)
What type of medication is norephinephrine (Levophed)? potent vasoconstrictor
Kinetics of norephinephrine (Levophed) IV titrated according to BP
Norephinephrine (Levophed) is drug of choice for what? (vasodilatation)
When is norephinephrine (levophed) used? after dopamine or dobutamine has been tried
Therapeutic uses of dopamine (intropin) hypotension, increased CO
Advantages of using dopamine (intropin) low dosages (less than 0.5-10 mcg/kg/min) stimulate urinary function
Therapeutic uses of dobutamine (Dobutrex) cardiogenic shock (acts on beta receptors)
How does dobutamine (Dobutrex) help in cardiogenic shock? enhance cardiac contraction, stroke volume and cardiac output
Dobutamine (Dobutrex) is less likely to cause what? hypertension, tachycardia
Therapeutic use of metaraminol (Aramine) hypotension associated with spinal anesthesia; less potent and longer duration
How should drugs for shock be started? on an infusion pump
When observing for therapeutic effect of drugs for shock what are you monitoring? BP, increase urine output, increased heart rate
Adverse effects of medications for shock tachycardia, dysrhythmias, hypertension, chest pain
Created by: 1818554924
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards