Shock, Mods, Sirs

Front 1

Shock is best defined as

Back 1

inadequate tissue perfusion

Front 2

Spinal cord injury, vital signs that include hypotension and bradycardia indicate

Back 2

neurogenic shock from maldistribution of blood flow

Front 3

The effect that shock has on the body

Back 3

sympathetic nervous system activation that results in stimulation of adrenergic receptors

Front 4

an appropriate treatment for the management of cardiogenic shock include

Back 4

dopamine to increase myocardial contractility

Front 5

an accurate assessment parameters for the nurse to use to determine adequate tissue perfusion in a pt with MODS are

Back 5

LOC, UOP, skin color, and temp.

Front 6

SIRS
a systemic inflammatory response to a variety of insults (infection, ishchemia, infarct, injury) Must consist of two or more

Back 6

Temp >100.4
HR >90
RR >20
WBC >12000 or <4000

Front 7

A systemic inflammatory response to a documented or suspected infection

Back 7

Sepsis

Front 8

sepsis associated with organ dysfunction, hypoperfusion or hypotension

Back 8

severe sepsis

Front 9

sepsis with hypotension despite adequate fluid resusicitatin along with the presence of tissue perfusion abnormalities.

Back 9

Septic Shock

Front 10

The failure of more that one organ in an acutely ill pt such that homeostasis cannot be maintained without intervention

Back 10

MODS

Front 11

an assessment finding indicating to the nurse that a pt is progressing to multiple organ dysfunction MODS

Back 11

fixed urine specific gravity at 1.010, Kidney failure

Front 12

before a pt in hypovolemic shock be administered norepinerpherine the pt has to

Back 12

have recieved adequate fluid replacement

Front 13

goal for cardiogenic shock pt

Back 13

decreased cardiac workload and increase systemic perfusion

Front 14

an indication for a shock pt that has orthostatic hypotension

Back 14

additional fluid replacement

Front 15

what indicates that fluid resuscitation in a shock pt has been effective

Back 15

Urinary output
1ml/kg/hr

Front 16

Cardiogenic shock occurs when either ______ or _____ dysfunction of the pumping action of the hear indicates a compromised ____ _____.

Back 16

systolic ro diastolic, cardiac output

Front 17

3 precipitating causes of cardiogenic shock

Back 17

MI, cardiomyopathy, blunt cardiac injury

Front 18

4 clinic manifestations of cardiogenic shock

Back 18

tachycardia, hypotension, tachypnea, pulmonary congeston, confusion, agitation, cool clamy skin

Front 19

hypovolemic shock occurs when there is a

Back 19

loss of intravascular fluid volume.

Front 20

physiologic consequenses of hypovolemia includ

Back 20

a decrease in venous return, preload, stroke volume, and CO

Front 21

Clinical manifestations of hypovolemic shock depends on what 3 factors

Back 21

age, general state of health

Front 22

Clinical manifestatons of hypovolemic shock include

Back 22

increased heart rate,
CO, RR and depth, decrease in stroke volume and urine output.

Front 23

a hemodynamic phenomenon that can occur within 30 minutes of a spinal cord injury at the 5 thoracid , or in response to spinal anesthesia

Back 23

neurogenic shock

Front 24

Clinical manifestaion of neurogenic shock

Back 24

hypotension, bradycardia, temp. dysregulation, dry skinn and poikioltheria.

Front 25

an acute and life threatening hypersensitivity (allergic) reaction to a sensitizing substance

Back 25

anaphylactic

Front 26

anaphylactic shock results in

Back 26

masive vasodilation, relase of vasoactive mediators and increase in capillary permeability causing fluid leaks

Front 27

clinical manifestation of anaphylactic include

Back 27

anxiety, confusion, dizziness, chest pain, incontinenece, swelling of lips, tongue, wheezing stridor, flushing, pruritis, urticaria and angioedema

Front 28

a systemic inflammatory response to a documented or suspected infection

Back 28

Septic shock

Front 29

a complication of septic shock

Back 29

MODS