Pharm exam 3
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| 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
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Normal Size Small Size show me how
Created by:
1818554924
Popular Nursing sets