GNRS 588 Exam 4 Questions With Correct
Answers
What |are |the |3 |types |of |shock? |- |CORRECT |ANSWER✔✔-Hypovolemic, |Cardiogenic, |
Distributive
3 |Subdivisions |of |Distributive |Shock |- |CORRECT |ANSWER✔✔-Septic |Shock
Anaphylactic |Shock
Neurogenic |Shock
Hypovolemic |and |Cardiogenic |shock |signs. |(CO, |HR, |RR, |BP, |Temp, |Pulse) |- |CORRECT |
ANSWER✔✔-Low |CO
High |HR
High |RR
Low |BP
Cold |Temp |
Weak |Pulse
How |does |septic |and |anaphylactic |shock |differ |from |the |others? |- |CORRECT |ANSWER✔✔-
Warm |temperature |and |strong |pulse
How |does |neurogenic |shock |differ |from |the |others? |- |CORRECT |ANSWER✔✔-Low |Heart |Rate
Warm |Temp
Strong |Pulse
What |is |the |main |problem |with |hypovolemic |shock? |- |CORRECT |ANSWER✔✔-Inadequate |fluid |
volume |in |the |vascular |space |(low |preload, |low |cardiac |output)k
,What |is |the |most |common |form |of |shock? |- |CORRECT |ANSWER✔✔-Hypovolemic
What |are |the |two |etiologic |factors |of |hypovolemic |shock? |- |CORRECT |ANSWER✔✔-Absolute |
(loss |of |blood, |plasma, |or |other |bodily |fluids)
Relative |(Vasodilation, |increased |capillary |permeability, |decreased |osmotic |pressure)
What |percentage |of |fluid |loss |is |categorized |as |mild? |- |CORRECT |ANSWER✔✔-15% |fluid |loss, |
up |to |750 |mL; |
Compensatory |mechanisms |are |adequate
What |percentage |of |fluid |loss |is |considered |mild |to |moderate? |- |CORRECT |ANSWER✔✔-15-
30%, |750-1500 |mL
More |intense |compensatory |response |is |required
What |are |the |characteristics |of |moderate |fluid |loss? |- |CORRECT |ANSWER✔✔-30-40% |fluid |
loss, |1500-2000 |mL
Compensatory |mechanisms |are |overwhelmed |and |ineffective |tissue |perfusion |occurs
(tachycardia, |arrhythmias, |acidosis, |confusion)
What |are |the |characteristics |of |severe |fluid |loss? |- |CORRECT |ANSWER✔✔->40% |fluid |loss, |
>2000 |mL
Tachycardia, |hypotension, |lactic |acidosis, |cyanosis, |organ |failure, |no |urine |output
What |are |the |compensatory |mechanisms |for |hypovolemic |shock? |- |CORRECT |ANSWER✔✔-
Catecholamine |release |(increases |SVR, |HR, |and |contractility)
Shift |of |interstitial |fluid
Release |Aldosterone, |ADH
, Splenic |Discharge
What |are |the |assessment |findings |for |hypovolemic |shock? |- |CORRECT |ANSWER✔✔-Decreased |
Cardiac |Output
Decreased |Preload |d/t |decreased |venous |return
Decrease |CVP |and |PAWP
Increase |in |SVR |due |to |increased |afterload |from |arterial |vasoconstriction.
What |blood |pressure |measurement |do |you |use |in |hypovolemic |shock? |Why? |- |CORRECT |
ANSWER✔✔-MAP |is |more |reliable |because |systolic |and |diastolic |will |be |artificially |high |due |to
|vasoconstriction.
What |are |the |three |goals |of |hypovolemic |shock |medical |management? |- |CORRECT |
ANSWER✔✔-Correct |the |cause |of |hypovolemia
Restore |tissue |perfusion
Prevent |Complications
What |types |of |fluids |do |you |use |to |replace |circulating |volume? |- |CORRECT |ANSWER✔✔-
Crystalloid |solution, |
a |colloid |solution, |
blood |products, |
or |a |combination
What |types |of |medications |are |used |to |maintain |perfusion |until |volume |is |restored? |- |
CORRECT |ANSWER✔✔-Vasopressors
How |often |do |you |assess |shock |patients? |- |CORRECT |ANSWER✔✔-Every |15 |min |until |shock |is |
controlled
Answers
What |are |the |3 |types |of |shock? |- |CORRECT |ANSWER✔✔-Hypovolemic, |Cardiogenic, |
Distributive
3 |Subdivisions |of |Distributive |Shock |- |CORRECT |ANSWER✔✔-Septic |Shock
Anaphylactic |Shock
Neurogenic |Shock
Hypovolemic |and |Cardiogenic |shock |signs. |(CO, |HR, |RR, |BP, |Temp, |Pulse) |- |CORRECT |
ANSWER✔✔-Low |CO
High |HR
High |RR
Low |BP
Cold |Temp |
Weak |Pulse
How |does |septic |and |anaphylactic |shock |differ |from |the |others? |- |CORRECT |ANSWER✔✔-
Warm |temperature |and |strong |pulse
How |does |neurogenic |shock |differ |from |the |others? |- |CORRECT |ANSWER✔✔-Low |Heart |Rate
Warm |Temp
Strong |Pulse
What |is |the |main |problem |with |hypovolemic |shock? |- |CORRECT |ANSWER✔✔-Inadequate |fluid |
volume |in |the |vascular |space |(low |preload, |low |cardiac |output)k
,What |is |the |most |common |form |of |shock? |- |CORRECT |ANSWER✔✔-Hypovolemic
What |are |the |two |etiologic |factors |of |hypovolemic |shock? |- |CORRECT |ANSWER✔✔-Absolute |
(loss |of |blood, |plasma, |or |other |bodily |fluids)
Relative |(Vasodilation, |increased |capillary |permeability, |decreased |osmotic |pressure)
What |percentage |of |fluid |loss |is |categorized |as |mild? |- |CORRECT |ANSWER✔✔-15% |fluid |loss, |
up |to |750 |mL; |
Compensatory |mechanisms |are |adequate
What |percentage |of |fluid |loss |is |considered |mild |to |moderate? |- |CORRECT |ANSWER✔✔-15-
30%, |750-1500 |mL
More |intense |compensatory |response |is |required
What |are |the |characteristics |of |moderate |fluid |loss? |- |CORRECT |ANSWER✔✔-30-40% |fluid |
loss, |1500-2000 |mL
Compensatory |mechanisms |are |overwhelmed |and |ineffective |tissue |perfusion |occurs
(tachycardia, |arrhythmias, |acidosis, |confusion)
What |are |the |characteristics |of |severe |fluid |loss? |- |CORRECT |ANSWER✔✔->40% |fluid |loss, |
>2000 |mL
Tachycardia, |hypotension, |lactic |acidosis, |cyanosis, |organ |failure, |no |urine |output
What |are |the |compensatory |mechanisms |for |hypovolemic |shock? |- |CORRECT |ANSWER✔✔-
Catecholamine |release |(increases |SVR, |HR, |and |contractility)
Shift |of |interstitial |fluid
Release |Aldosterone, |ADH
, Splenic |Discharge
What |are |the |assessment |findings |for |hypovolemic |shock? |- |CORRECT |ANSWER✔✔-Decreased |
Cardiac |Output
Decreased |Preload |d/t |decreased |venous |return
Decrease |CVP |and |PAWP
Increase |in |SVR |due |to |increased |afterload |from |arterial |vasoconstriction.
What |blood |pressure |measurement |do |you |use |in |hypovolemic |shock? |Why? |- |CORRECT |
ANSWER✔✔-MAP |is |more |reliable |because |systolic |and |diastolic |will |be |artificially |high |due |to
|vasoconstriction.
What |are |the |three |goals |of |hypovolemic |shock |medical |management? |- |CORRECT |
ANSWER✔✔-Correct |the |cause |of |hypovolemia
Restore |tissue |perfusion
Prevent |Complications
What |types |of |fluids |do |you |use |to |replace |circulating |volume? |- |CORRECT |ANSWER✔✔-
Crystalloid |solution, |
a |colloid |solution, |
blood |products, |
or |a |combination
What |types |of |medications |are |used |to |maintain |perfusion |until |volume |is |restored? |- |
CORRECT |ANSWER✔✔-Vasopressors
How |often |do |you |assess |shock |patients? |- |CORRECT |ANSWER✔✔-Every |15 |min |until |shock |is |
controlled
