HIGH ACUITY - sepsis / shock QUICK TEST PASS 2023

HIGH ACUITY - sepsis / shock QUICK TEST PASS 2023 shock failure to provide adequate perfusion or oxygenation to the body how to measure perfusion - capillary refill (<3 seconds) - urinary output (>30ml/hr) - vital signs (MAP & HR are huge) - LOC hypovolemic shock shock resulting from blood or fluid loss cause of hypovolemic shock - hemorrhage - dehydration - burns - diabetes insipidus - GI ulver/bleed general signs and symptoms of shock - increase HR - thready/weak - increase RR - shallow/rapid - decrease BP - decrease urine output - cold clammy skin - cyanosis - nausea/vomiting - no bowel sounds - acidosis (low pH, high CO2) - decrease/low O2 - anxious - thirsty - high lactic acid - high potassium - > 3 sec cap refill - MAP <65 seconds management of hypovolemic shock - fluids (normal saline or lactated ringers) - oxygen replacement / monitoring ABGs - vasopressors if fluids don't work vasopressors for blood pressure management - norepinephrine - dobutamine - dopamine - phenylephrine labs to monitor for hypovolemic shock INR h&h coumadin (warfarINR) vitamin K protamine sulfate heP(TT)arin INR normal valu