Final Exam
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What are the four stages of shock? | Initial, Compensatory, Progressive, Irreversible (aka Refractory)
🗑
|
||||
| During the ________ stage of shock, no s/s are apparent; body is beginning to react to O2 supply/demand imbalance with lactic acid accumulating from change to anaerobic metabolism (aka metabolic acidosis) | Initial
🗑
|
||||
| During the _______ stage of shock, s/s are vaguely visible; body is trying to compensate. "Fight or flight" response. Narrow window to intervene before acidosis develops. | Compensatory
🗑
|
||||
| During the _______ stage of shock, there is an increase in abnormal VS | Progressive (aka decompensate)
🗑
|
||||
| During the ________ stage of shock, the body must have external supports (meds for BP and cardiac, intubation, external pacer, etc.) | Irreversible (aka refractory)
🗑
|
||||
| Stage of shock: Priority is blood flow management; preventing hypotension or the advancement to other stages. | Compensatory
🗑
|
||||
| Stage of shock: Clinical signs are normal BP, HR >100, RR >20, cool clammy skin, confusion, lower urine output and RR alkalosis. Prognosis good if treatment begins early. | Compensatory
🗑
|
||||
| Term for the blood ejected from heart with systole; Systolic BP minus diastolic | Pulse Pressure
🗑
|
||||
| Normal pulse pressure is _____ to _____ mmHg | 30-40
🗑
|
||||
| Pulse pressure is r/t what? Decrease/narrowing of pulse pressure is showing change in it. | SV
🗑
|
||||
| Lab changes in the compensatory stage include increased _____ and ______ r/t catecholamine and aldosterone release. | Na and glucose
🗑
|
||||
| Report systolic BP <_____ or drop from baseline of ____ | 90; 40
🗑
|
||||
| Stage of shock: Heart is overworked; cellular perfusion decreased from vasoconstriction and increased capillary permeability | Progressive
🗑
|
||||
| Stage of shock: Circulating fluid volume decreases, so HR increases beginning a vicious cycle with worsening prognosis | Progressive
🗑
|
||||
| Stage of shock: Map falls below normal limits, Systolic <80-90, HR >150, rapid shallow RR, crackles, skin mottled, lethargic, decreased urine output, metabolic acidosis. | Progressive
🗑
|
||||
| Stage of shock: Weak, thready pulse, Increased BUN, creatinine, liver enzymes. May see seizure. Increased r/o GI bleed and infection. | Progressive
🗑
|
||||
| Stage of shock: Organ damage is so severe it is unable to respond in any way and can only go on with mechanical or pharmacological support. | Irreversible (Refractory)
🗑
|
||||
| Stage of shock: No BP or RR without support, cardiac rhythm is erratic or asystole, intubated, skin is jaundiced, anuric, unconscious, profound acidosis | Irreversible (Refractory)
🗑
|
||||
| MODS can happen in what type of shock? | Any
🗑
|
||||
| What three things increase r/o developing MODS? | Age, malnourished, comorbidities
🗑
|
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:
mreedy
Popular Nursing sets