Exam 4 NSG 430 Latest Update -

Exam 4 NSG 430 Latest Update - Exam from Credible Source with Questions and 100% Verified Detailed Correct Answers Guaranteed

#1 cause of DIC - CORRECT ANSWER: septic shock

A bleeding disorder that increases clotting factors and platelets - CORRECT ANSWER: Disseminated Intravascular Coagulation

C.M.- T: >100.4 or <96.8, RR>20, HR>90, WBC>12,000 or <4,000, PCO2<32 mmHg

indicates what - CORRECT ANSWER: SIRS- systemic inflammatory response

syndrome

cause of cariogenic shock - CORRECT ANSWER: MI

cause of neurogenic shock - CORRECT ANSWER: injury of T6 and above

cause of septic shock - CORRECT ANSWER: INFECTION

CM for DIC - CORRECT ANSWER: petechiae, bloody stools, pallor/cyanosis, bone and joint pain

CM for septic shock - CORRECT ANSWER: -increased clotting and inflammation

-increased RR -decreased UO -increased CO

-WARM AND FLUSHED

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CM of leukemia - CORRECT ANSWER: abrupt fever and bleeding, >100,000 WBC

CM of neurogenic shock - CORRECT ANSWER: warm, bradycardic, hypotensive

diagnostic for cariogenic shock - CORRECT ANSWER: 12-lead EKG

Diagnostic for DIC - CORRECT ANSWER: D-dimer

Diagnostic for leukemia - CORRECT ANSWER: bone marrow biopsy

Diagnostic to identify that someone is in shock - CORRECT ANSWER: elevation of

lactate

do you give colloids (albumin) to someone in neurogenic shock? - CORRECT

ANSWER: NO!!!!

Do you give fluids to someone in cariogenic shock? - CORRECT ANSWER: NO! b/c you don't want fluid overload since they're in HF

During MODS what do you want to keep glucose at? - CORRECT ANSWER: use insulin

infusion to keep glucose at 140 to 180

MAIN TX FOR SHOCK, EXCEPT FOR CARDIOGENIC AND NEUROGENIC

(cautiously) - CORRECT ANSWER: GIVE FLUIDS AND BLOOD

N.I. for shock - CORRECT ANSWER: Crystalloids + colloid fluids, blood transfusion, mechanical ventilation Vosyn (vancomycin + Zosyn)

S&S of cardiogenic shock - CORRECT ANSWER: same as HF: tachycardia, low BP, crackles, cool clammy skin, anxiety, urinary retention

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