Term
Match the following types of shock with what causes it
1) hemorrhage
2) cardiac tamponade
3) sepsis
4) acute MI
5) severe dehydration
6) tension pneumothorax
a) hypovolemic
b) cardiogenic
c) distriubutive
d) obstructive
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,-fatigue
-dyspnea on exertion
-orthopnea
-palpitations
-a fib
-JVD
-pitting edema
-high pitched murmur
1) a) hypovolemic
2) d) obstructive
3) c) distriubutive
4) b) cardiogenic
5) a) hypovolemic
6) d) obstructive
B. Adenosine [Adenocard]
*The drug of choice is adenosine; this meds only indication
*Lidocaine is used for ventricular dysrhythmias
*amiodarone is used for atrial and ventricular dysrhythmias
*phenytoin is used for digoxin-induced dysrhythmias.
a) fluid volume deficit
*Unconscious--can not respond to thirst mechanism. Fever--risk factor for
dehydration. Evidence of lung infection—risk factor for dehydration. 1200mL/24
hours--not enough fluid intake
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, 2 of 208
Term
What actions will the nurse tack for pts at risk for complication of
mechanical ventilation like peptic (stress) ulcer?
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Cardiac tamponade
pulsus paradoxus (pulses
diminshed/absent during inspiration) Respiratory acidosis with no
-muffled heart tones metabolic compensation &
-JVD moderate to severe hypoxia
-decreased BP
-tachycardia
-H2 blocker like famotidine Coronary artery bypass graft
(pepcid) surgery (CABG)
-PPI like pantoprazole
(protonix) *must stop the heart from beating
-carafate suspension during surgery
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, 3 of 208
Term
What is the SpO2 and PaO2 for the following oxygenation status:
1) Normal
2) Mild hypoxemia
3) Moderate hypoxemia
4) Severe hypoxemia
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b) decreased CO leads to decreased BP
1) tachypnea (>20); bradypnea (<12) late
2) deep or shallow, evidence of accessory muscles (retractions)
3) it depends; if prolonged hypoxemia barrel chest AP:T 1:1. if pneumothorax
unilateral
4) tachycardia or increased from baseline
5) pallor; mottled; cyanosis
1) zone of ischemia
2) zone of injury
3) zone of necrosis
1) SpO2 >95; PaO2 80-100
2) SpO2 91-94; PaO2 60-80
3) SpO2 86-90; PaO2 50-60
4) SpO2 <86; PaO2 <50
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