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, NRS,.3015:,.ATI,.Chapter,.37,.–,.Hemodynamic,.Shock
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to,.rogan,.failure
• Any,.condition,.that,.compromises,.oxygen,.delivery,.to,.organs,.+,.tissues,.can,.lead,
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• Rapidly-progressing,, . +, . life-threatening
2. Why,.are,.older,.a • Reduced,.compensatory,.mechanisms,.+,.rapidly,.progress,.through,.the,.stages,.of
dults,.at,.risk,.for,.s ,.shock
hock? • Catecholamine,.secretions,.might,.not,.improve,.cardiac,.contractility,.or,.cause,.v
asoconstriction,.as,.in,.younger,.adults,.due,.to,.decreased,.baroreceptor,.response
• Decreased,.ability,.to,.compensate,.can,.cause,.sustained,.low,.CO,.+,.BP
3. What,.are,.the,.types,. • Cardiogenic
of,.shock? • Hypovolemic
• Obstructive
• Distributive
4. What,.is,.cardio- Failure,.of,.the,.heart,.to,.pump,.ettectively,.due,.to,.a,.cardiac,.factor
genic,.shock?
5. What,.is,.hypov- A,.decrease,.in,.intravascular,.volume,.of,.at,.least,.15%,.to,.30%
olemic,.shock?
6. What,.is,.obstructive, . Impairment,.of,.the,.heart,.to,.pump,.ettectively,.as,.a,.result,.of,.a,.noncardiac,.factor
shock?
7. What,.is,.distributive, . Widespread,.vasodilation,.+,.increased,.capillary,.permeability,,.including,.neuro-
shock? genic,,.septic,,.+,.anaphylactic,.shock
8. What,.are,.the,.sta • Initial
ges,.of,.shock? • Compensatory
• Progressive
• Refractory
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, NRS,.3015:,.ATI,.Chapter,.37,.–,.Hemodynamic,.Shock
9. Describe,.the,.initial, No,.visible,.changes,.in,.client,.parameters;,.only,.changes,.on,.the,.cellular,.level
.stage,.of,.shock.
10. Describe,.the,.com- Measures,.to,.increase,.cardiac,.output,.to,.restore,.tissue,.perfusion,.+,.oxygenation
pensatory,.stage,.of,
.shock.
11. Describe,.the,.pro- Compensatory,.mechanisms,.begin,.to,.fail
gressive,.stage,.of,
.shock.
12. Describe,.the,.re- Irreversible,.shock,.+,.total,.body,.failure
fractory,.stage,.of,.
shock.
13. What,.is,.included,.i Educate,.the,.client,.about,.ways,.to,.reduce,.the,.risk,.of,.a,.myocardial,.infarction,.(MI),, . s
n,.health,.promo- uch,.as,.exercise,,.diet,,.stress,.reduction,,.+,.smoking,.cessation
tion,.+,.disease,.pre-
vention,.of,.cardio-
genic,.shock?
14. What,.is,.included,.i • Advise,.the,.client,.to,.drink,.plenty,.of,.fluids,.when,.exercising,.or,.when,.in,.hot, .
n,.health,.promo- weather
tion,.+,.disease,.pre- • Advise,.the,.client,.to,.obtain,.early,.medical,.attention,.w/,.illness,.or,.trauma,.+,.with,.
vention,.of,.hypov- any,.evidence,.of,.dehydration,.or,.bleeding
olemic,.shock?
15. What,.is,.included,.in, . Educate,.the,.client,.about,.wearing,.seat,.belts,.+,.helmets,,.+,.the,.use,.of,.caution,.w/
health,.promotion dangerous,.equipment,,.machinery,.or,.activities
+,.disease,.prevent
ion,.of,.obstructive/n
euro-
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, NRS,.3015:,.ATI,.Chapter,.37,.–,.Hemodynamic,.Shock
What, . is, . shock? •,.A,.state,.of,.inadequate,.tissue,.perfusion,.that,.impairs,.cellular,.function,.+,.can,.lead
to,.rogan,.failure
• Any,.condition,.that,.compromises,.oxygen,.delivery,.to,.organs,.+,.tissues,.can,.lead,
.to,.shock
• Rapidly-progressing,, . +, . life-threatening
2. Why,.are,.older,.a • Reduced,.compensatory,.mechanisms,.+,.rapidly,.progress,.through,.the,.stages,.of
dults,.at,.risk,.for,.s ,.shock
hock? • Catecholamine,.secretions,.might,.not,.improve,.cardiac,.contractility,.or,.cause,.v
asoconstriction,.as,.in,.younger,.adults,.due,.to,.decreased,.baroreceptor,.response
• Decreased,.ability,.to,.compensate,.can,.cause,.sustained,.low,.CO,.+,.BP
3. What,.are,.the,.types,. • Cardiogenic
of,.shock? • Hypovolemic
• Obstructive
• Distributive
4. What,.is,.cardio- Failure,.of,.the,.heart,.to,.pump,.ettectively,.due,.to,.a,.cardiac,.factor
genic,.shock?
5. What,.is,.hypov- A,.decrease,.in,.intravascular,.volume,.of,.at,.least,.15%,.to,.30%
olemic,.shock?
6. What,.is,.obstructive, . Impairment,.of,.the,.heart,.to,.pump,.ettectively,.as,.a,.result,.of,.a,.noncardiac,.factor
shock?
7. What,.is,.distributive, . Widespread,.vasodilation,.+,.increased,.capillary,.permeability,,.including,.neuro-
shock? genic,,.septic,,.+,.anaphylactic,.shock
8. What,.are,.the,.sta • Initial
ges,.of,.shock? • Compensatory
• Progressive
• Refractory
,. ,.
, NRS,.3015:,.ATI,.Chapter,.37,.–,.Hemodynamic,.Shock
9. Describe,.the,.initial, No,.visible,.changes,.in,.client,.parameters;,.only,.changes,.on,.the,.cellular,.level
.stage,.of,.shock.
10. Describe,.the,.com- Measures,.to,.increase,.cardiac,.output,.to,.restore,.tissue,.perfusion,.+,.oxygenation
pensatory,.stage,.of,
.shock.
11. Describe,.the,.pro- Compensatory,.mechanisms,.begin,.to,.fail
gressive,.stage,.of,
.shock.
12. Describe,.the,.re- Irreversible,.shock,.+,.total,.body,.failure
fractory,.stage,.of,.
shock.
13. What,.is,.included,.i Educate,.the,.client,.about,.ways,.to,.reduce,.the,.risk,.of,.a,.myocardial,.infarction,.(MI),, . s
n,.health,.promo- uch,.as,.exercise,,.diet,,.stress,.reduction,,.+,.smoking,.cessation
tion,.+,.disease,.pre-
vention,.of,.cardio-
genic,.shock?
14. What,.is,.included,.i • Advise,.the,.client,.to,.drink,.plenty,.of,.fluids,.when,.exercising,.or,.when,.in,.hot, .
n,.health,.promo- weather
tion,.+,.disease,.pre- • Advise,.the,.client,.to,.obtain,.early,.medical,.attention,.w/,.illness,.or,.trauma,.+,.with,.
vention,.of,.hypov- any,.evidence,.of,.dehydration,.or,.bleeding
olemic,.shock?
15. What,.is,.included,.in, . Educate,.the,.client,.about,.wearing,.seat,.belts,.+,.helmets,,.+,.the,.use,.of,.caution,.w/
health,.promotion dangerous,.equipment,,.machinery,.or,.activities
+,.disease,.prevent
ion,.of,.obstructive/n
euro-
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