Page 1 of 38
Exam 2 - NUR2115 / NUR 2115 (Latest 2025) :
Fundamentals Of Professional Nursing - Rasmussen
how to calculate cardiac output .....ANSWER.....CO = SV x HR
Mean Arterial Pressure (MAP) .....ANSWER.....MAP= SBP +
2(DBP) / 3
Normal= 70-105mmHg
Needs to be >65mmHg to perfuse ONLY the vital organs. THIS
IS NOT NORMAL
Use A line to measure
Pulmonary Artery Catheter Pressures .....ANSWER.....PA
pressures- (distal port)
PAS= 15-30mmHg
PAD 8-15mmHg
SIRS .....ANSWER.....systemic inflammatory response syndrome.
,Page 2 of 38
does not have to be associated with an infection.
SIRS criteria .....ANSWER.....need 2 or more s/s
-temp >100.4, temp <96.8
-HR >90bpm
-RR >20 and /or PCO2 <32 (rapid breathing)
-WBC >12,000 or <4,000
WOTF is not criteria s/s for dx SIRS
1. RR > 20
2. HR <60
3. Temp >100.4
4. PaCO2 <32 .....ANSWER.....2. HR <60 ANSWER
DIC .....ANSWER.....disseminated intravascular coagulation
DEATH IS COMING
NO PERFUSION
,Page 3 of 38
They will have an increased D Dimer
DIC clinical presentation .....ANSWER.....Acute bleeding from
multiple sites. Bleeding from everywhere. Organ dysfunction,
Thrombosis.
DIC nursing management .....ANSWER.....1. Occult blood testing
of all fluids
2. avoid puncturing the pt.
3. Apply pressure 10-15 MIN for arterial puncture. 5MIN for
venous puncture.
4. paper tape
5. No BP cuff. NEED AN A LINE
6. No rectal temp
7. gentle personal care
8. dec. pressure points
, Page 4 of 38
9. monitor pupils for changes- Could be cerebral bleed.
WOTF lab value is indicative of DIC
1. dec PTT
2. inc Platelet
3. dec INR
4. inc FDP (fibrin degradation product) .....ANSWER.....4. inc FDP
(fibrin degradation product) ANSWER
hypovolemic shock .....ANSWER.....TANK PROBLEM
inadequate fluid volume in the space
cardiogenic shock .....ANSWER.....PUMP PROBLEM
Coronary- problem with heart itself, cant move blood.
Non-Coronary- physical obstruction into or out of heart
circulatory (distributive) shock .....ANSWER.....PIPE PROBLEM --->
EXTREME VASODILATION
Exam 2 - NUR2115 / NUR 2115 (Latest 2025) :
Fundamentals Of Professional Nursing - Rasmussen
how to calculate cardiac output .....ANSWER.....CO = SV x HR
Mean Arterial Pressure (MAP) .....ANSWER.....MAP= SBP +
2(DBP) / 3
Normal= 70-105mmHg
Needs to be >65mmHg to perfuse ONLY the vital organs. THIS
IS NOT NORMAL
Use A line to measure
Pulmonary Artery Catheter Pressures .....ANSWER.....PA
pressures- (distal port)
PAS= 15-30mmHg
PAD 8-15mmHg
SIRS .....ANSWER.....systemic inflammatory response syndrome.
,Page 2 of 38
does not have to be associated with an infection.
SIRS criteria .....ANSWER.....need 2 or more s/s
-temp >100.4, temp <96.8
-HR >90bpm
-RR >20 and /or PCO2 <32 (rapid breathing)
-WBC >12,000 or <4,000
WOTF is not criteria s/s for dx SIRS
1. RR > 20
2. HR <60
3. Temp >100.4
4. PaCO2 <32 .....ANSWER.....2. HR <60 ANSWER
DIC .....ANSWER.....disseminated intravascular coagulation
DEATH IS COMING
NO PERFUSION
,Page 3 of 38
They will have an increased D Dimer
DIC clinical presentation .....ANSWER.....Acute bleeding from
multiple sites. Bleeding from everywhere. Organ dysfunction,
Thrombosis.
DIC nursing management .....ANSWER.....1. Occult blood testing
of all fluids
2. avoid puncturing the pt.
3. Apply pressure 10-15 MIN for arterial puncture. 5MIN for
venous puncture.
4. paper tape
5. No BP cuff. NEED AN A LINE
6. No rectal temp
7. gentle personal care
8. dec. pressure points
, Page 4 of 38
9. monitor pupils for changes- Could be cerebral bleed.
WOTF lab value is indicative of DIC
1. dec PTT
2. inc Platelet
3. dec INR
4. inc FDP (fibrin degradation product) .....ANSWER.....4. inc FDP
(fibrin degradation product) ANSWER
hypovolemic shock .....ANSWER.....TANK PROBLEM
inadequate fluid volume in the space
cardiogenic shock .....ANSWER.....PUMP PROBLEM
Coronary- problem with heart itself, cant move blood.
Non-Coronary- physical obstruction into or out of heart
circulatory (distributive) shock .....ANSWER.....PIPE PROBLEM --->
EXTREME VASODILATION
