NURS 480 COMPREHENSIVE QUESTIONS AND
ANSWERS SET A+
✔✔Problem we are trying to correct with cardiogenic shock - ✔✔impaired oxygenation
ceased by reduced cardiac output
want to avoid MI
✔✔Causes of neurogenic shock - ✔✔acute injury to T6 and above, last up to 6 weeks
also spinal anesthesia
✔✔CM of neurogenic shock - ✔✔1. hypotension
2. bradycardia
3. very low SVR,EF remains high, but CVP falls, syncope
✔✔Atropine nursing' interventions - ✔✔
✔✔NA for neurogenic shock - ✔✔If spinal injury stabilize by
1. board on back to align spine
2. c collar
then
1. vasopressor (like phenylephrine) to fight hypotension
2. Atropine for bradycardia
3. Infuse fluids cautiously
4. Monitor for hypothermia
✔✔Treatment for anaphylactic shock - ✔✔1. Epinephrine
a. monitor oxygen
2. maintain airway
a. endotracheal intubation
b. tracheostomy tube
3. Fluid replacement
, 4. Diphenhydramine
5. famotidine (histamine receptor blocker)
✔✔Septic shock priority intervention - ✔✔1. PRIOIRITY: large amount of fluid
replacement, usually with 4-5% albumin
minimum of 30 mL/kg
2. norepinephrine may be needed
3 Monitor 02
4. IV corticosteroids (hydrocortisone/methyl prednisone) if BP abnormal with norepin
5. vancomycin
✔✔Late signs of septic shock - ✔✔BP- systolic below 90mmHg and MAP decreased
>20
Pulse- increased rate and weak
Urine output- decreased 0.5mL/kg/hr
Skin temp- Cool, moist, mottled
Sensorium- Decreased LOC and AMS
Resps- Increased rate and shallow
✔✔ Aspirin (ASA) mechanism of action? - ✔✔decreases platelet aggregation and
reduces likelihood of thrombus formation
✔✔Measuring CVP is used for what? - ✔✔to check how fluids, which aid in perfusion,
are affecting organs and the body
✔✔What is checked after giving IVF to check for efficacy? - ✔✔1. CVP
2. BP
✔✔What should be given to increase CVP? - ✔✔1. IVF first, then check CVP
2. then give Lopressor and norepinephrine to increased CVP if pt still low CVP
✔✔What are the three most common disease causes of elevated CVP? - ✔✔1. heart
failure
2. SIADH
3. renal disease
✔✔Common blood transfusion reactions are? - ✔✔1. hemolytic
2. anaphalytic
✔✔Hemolytic reaction to blood transfusion signs and first step? - ✔✔sudden flank pain
STOP the infusion
ANSWERS SET A+
✔✔Problem we are trying to correct with cardiogenic shock - ✔✔impaired oxygenation
ceased by reduced cardiac output
want to avoid MI
✔✔Causes of neurogenic shock - ✔✔acute injury to T6 and above, last up to 6 weeks
also spinal anesthesia
✔✔CM of neurogenic shock - ✔✔1. hypotension
2. bradycardia
3. very low SVR,EF remains high, but CVP falls, syncope
✔✔Atropine nursing' interventions - ✔✔
✔✔NA for neurogenic shock - ✔✔If spinal injury stabilize by
1. board on back to align spine
2. c collar
then
1. vasopressor (like phenylephrine) to fight hypotension
2. Atropine for bradycardia
3. Infuse fluids cautiously
4. Monitor for hypothermia
✔✔Treatment for anaphylactic shock - ✔✔1. Epinephrine
a. monitor oxygen
2. maintain airway
a. endotracheal intubation
b. tracheostomy tube
3. Fluid replacement
, 4. Diphenhydramine
5. famotidine (histamine receptor blocker)
✔✔Septic shock priority intervention - ✔✔1. PRIOIRITY: large amount of fluid
replacement, usually with 4-5% albumin
minimum of 30 mL/kg
2. norepinephrine may be needed
3 Monitor 02
4. IV corticosteroids (hydrocortisone/methyl prednisone) if BP abnormal with norepin
5. vancomycin
✔✔Late signs of septic shock - ✔✔BP- systolic below 90mmHg and MAP decreased
>20
Pulse- increased rate and weak
Urine output- decreased 0.5mL/kg/hr
Skin temp- Cool, moist, mottled
Sensorium- Decreased LOC and AMS
Resps- Increased rate and shallow
✔✔ Aspirin (ASA) mechanism of action? - ✔✔decreases platelet aggregation and
reduces likelihood of thrombus formation
✔✔Measuring CVP is used for what? - ✔✔to check how fluids, which aid in perfusion,
are affecting organs and the body
✔✔What is checked after giving IVF to check for efficacy? - ✔✔1. CVP
2. BP
✔✔What should be given to increase CVP? - ✔✔1. IVF first, then check CVP
2. then give Lopressor and norepinephrine to increased CVP if pt still low CVP
✔✔What are the three most common disease causes of elevated CVP? - ✔✔1. heart
failure
2. SIADH
3. renal disease
✔✔Common blood transfusion reactions are? - ✔✔1. hemolytic
2. anaphalytic
✔✔Hemolytic reaction to blood transfusion signs and first step? - ✔✔sudden flank pain
STOP the infusion
