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Nursing 213--Unit 4—Shock Actual Questions And Answers With Complete Solutions | Update 2025

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Nursing 213--Unit 4—Shock Actual Questions And Answers With Complete Solutions | Update 2025

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Nursing 213--Unit 4—Shock Actual Questions
And Answers With Complete Solutions | Update
2025

Shock is... - ANSWER widespread abnormal cellular metabolism that occurs
when oxygenation and tissue perfusion needs are not met to the level necessary
to maintain cell function


Shock is classified by the.... - ANSWER functional impairment it causes


The compensatory mechanisms/ adjustment actions are performed by the... -
ANSWER sympathetic nervous system, triggering the stress response and
activating the endocrine and cardiovascular systems.


Tissue and organ perfusion is related to.. - ANSWER MAP (mean arterial
pressure)


Total blood volume and cardiac output are ____ related to MAP so... - ANSWER
*directly*


so increases in either total blood volume or cardiac output *raise* MAP


The size of the vascular bed is ____ related to MAP - ANSWER *Inversely*


The increases in the size of the vascular bed *lower* MAP and decreases raise
MAP

,Cardiac output (CO) and stroke volume (SV) formula - ANSWER CO = SV x HR


Mean arterial pressure (MAP) formula - ANSWER MAP = CO x SVR orMAP = [(2
x DBP) + SBP] / 3


Normal MAP = - ANSWER Normal = 70 -110 mmHg


How much MAP is necessary to maintain adequate perfusion to vital organs? -
ANSWER 60 mmHg


Figure 39-2 Interaction of blood volume and the size of the capillary bed affecting
MAP - ANSWER


Types of shock - ANSWER Hypovolemic
Cardiogenic
Distributive
Anaphylaxis
Septic
Obstructive


Types of shock----*Hypovolemic Shock* - ANSWER Occurs when too little
circulating blood volume causes MAP to decrease, resulting in inadequate total
body oxygenation

, Common problems leading to this--> Hemorrhage and dehydration


Types of shock----*Cardiogenic shock* - ANSWER Occurs when the actual heart
muscle is unhealthy and pumping is directly impaired.


MI is the most common cause of direct pump failure


Other causes:
--Cardiac arrest
--Ventricular dysrhythmias
--Cardiac amyloidosis
--Cardiomyopathies
--Myocardial degneration


Types of shock----*Distributive shock* - ANSWER occurs when blood volume is
not lost from the body but is distributed to the interstitial tissues where it cannot
circulate and deliver oxygen


Caused by:
--a lose of sympathetic tone
--Blood vessel dilation
--Pooling of blood in venous and capillary beds
--Increased capillary leak


^^ all these factors can decrease MAP

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