NUR 347 Exam 2
- shock
Answer
the lack of adequate circulation or blood supply causing inadequate oxygen delivery to vital organs causing an inability to meet cellular metabolic needs
- shock stages
Answer
compensated, progressive, irreversible
- Compensatory stage of shock
Answer
-body attempts to compensate for damage
-Respiratory alkalosis- high RR -body shunting blood -skin is cold and clamy, urine output decreases, confusion
- Progressive stage of shock
Answer
-when compensatory mechanisms fail. organ func- tions begin to deteriorate
-MAP below 65 -intubate -Weak thready pulse Excessively low BP Edema 1 / 3
Dysrhythmia
- Irreversible stage of shock
Answer
no longer responding to treatment
- hypovolemic shock causes
Answer
- Internal bleeding, burns, long bone fractures
- Surgery, vomit, DI, diarrhea, sweating, trauma
- hypovolemic shock
Answer
A condition in which low blood volume, due to massive internal or external bleeding or extensive loss of body water, results in inadequate perfusion.
- Hypovolemic shock treatment
Answer
-Aggressive fluid replacement (warm IV fluids)
-blood products -fix the underlying problem -give oxygen -monitor all labs
- Hypovolemic shock manifestations 2 / 3
Answer
-hypotension
-tachycardia -low central venous pressure -cold and clammy skin
- cardiogenic shock
Answer
Shock caused by inadequate function of the heart, or pump failure.
- cardiogenic shock causes
Answer
-Myocardial infarction (MI)
-pericardial tamponade -Valve disorders -Arrhythmia
- Pericardial tamponade
Answer
too much fluid around the heart so the heart cannot fill
- cardiogenic shock manifestations
Answer
can be L or R sided
- / 3