PN 3 Final
Shock - Answer- Hypotension-lay on back with feet elevated Hypovolemic Shock - Answer- Decrease in circulating blood, decreased tissue perfusion, hypoxia. Hypovolemic Shock - Answer- Blood loss-give blood Other- 0.9% saline Replace potassium Severe Shock - Answer- 40% blood volume loss Angioedema - Answer- swelling of face, head, neck, tongue, throat Constriction of airway and bronchii anaphylactic shock Medications that cause anaphylactic shock - Answer- penicillin and ace inhibitors anaphylactic shock - Answer- epinephrine 1:1000, 0.3-0.5ml CHF - Answer- Fluids back up-big boggy heart bulging neck and hand veins, bounding pulse, decreased urine output, hypertension Medications for CHF - Answer- Diuretics, beta blockers and ace inhibitors Lung sounds will be crackles Fight or Flight - Answer- Extreme or sudden stress will activate the sympathetic nervous system Neurological status - Answer- change in level consciousness Notify provider stat Call rapid response Use glasgow coma scale Migraines - Answer- Sumatriptan and Imitrex Parkinsons - Answer- Shuffling walk, increased immobility, tremors, bradykinesia, r/f dysphagia and choking menengitis - Answer- inflammation of lining of brain and cns fever, headache nuchal rigidity. monitor for decreased neuro status, patient is at high risk for ICP. Decrease stimulation
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