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PNP301 - Test 3 Questions With Correct Answers

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PNP301 - Test 3 Questions With Correct Answers

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PNP301 - Test 3 Questions With Correct
Answers

What is shock? - CORRECT ANSWER✔✔-Widespread abnormal cellular
| | | | | | | |


metabolism that occurs when the human need for oxygenation and tissue
| | | | | | | | | | |


perfusion is not met to the level needed to maintain cell function.
| | | | | | | | | | |




What is tissue perfusion? - CORRECT ANSWER✔✔-blood flow through body
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tissues


What is shock the result of? - CORRECT ANSWER✔✔-decreased circulating blood
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volume leading to decreased tissue perfusion and general hypoxia
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Why is shock considered a syndrome? - CORRECT ANSWER✔✔-Identified through
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S&S
|




Because the cellular, tissue, and organ events that occur in response to its
| | | | | | | | | | | | |


presence happen in a predictable sequence.
| | | | |




What type of response is usually triggered when someone goes into shock? -
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CORRECT ANSWER✔✔-whole-body
|




What are main initial manifestations of shock? (2) - CORRECT ANSWER✔✔--
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hypotension

,- anaerobic cellular metabolism
| | |




What is hypovalemic shock? - CORRECT ANSWER✔✔-extensive loss of blood/
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fluid volume
|




What commonly causes hypovalemic shock? - CORRECT ANSWER✔✔-Commonly
| | | | | | | |


caused by hemorrhage (external or internal) and dehydration (diarrhea/vomiting)
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What is cardiogenic shock? - CORRECT ANSWER✔✔-Occurs when the heart is
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damaged and unable to supply sufficient blood to the body
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What is vasogenic shock? - CORRECT ANSWER✔✔-caused by sepsis, deep
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anesthesia, or anaphylaxis | |




circulatory failure resulting from vasodilation
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What is sepsis? - CORRECT ANSWER✔✔-- systemic inflammatory response to
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documented or suspected infection | | |




- presence of tissue perfusion abnormalities
| | | | |




What is anaphylaxis? - CORRECT ANSWER✔✔--Severe allergic reaction
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- Massive vasodilation
| |




- Increased capillary permeability
| | |

,What are clinical manifestations of anaphylaxis? - CORRECT ANSWER✔✔--
| | | | | | | | |


Anxiety, confusion, dizziness
| |




- Sense of impending doom
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- Chest pain
| |




- Incontinence
|




- Swelling of the lips and tongue, angioedema
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- wheezing
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- respiratory distress and circulatory failure
| | | | |




What is neurogenic shock? - CORRECT ANSWER✔✔-Hemodynamic phenomenon
| | | | | | | |


that can occur within 30 minutes of a spinal cord injury at the fifth thoracic (T5)
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vertebra or above and can last up to 6 weeks.
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- spinal cord injury
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- opiod overdose
| |




Sequence of Neurogenic Shock - CORRECT ANSWER✔✔-- loss of sympathetic
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tone |




- venous and arterial vasodilation
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- decreased BP
| |




- decreased venous return
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- decreased stroke volume
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- decreased cardiac output
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- decreased cellular oxgen supply
| | | | |

, - decreased tissue perfusion
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- impaired cellular metabolism
| | |




What is poikilothermia? - CORRECT ANSWER✔✔-inability to regulate body
| | | | | | | | |


temperature


taking on the temperature of the environment
| | | | | |




Stages of Circulatory Shock - CORRECT ANSWER✔✔-1) compensatory
| | | | | | | |




2) progressive
| |




3) decompensated/refractory
|




What is the difference between relative and absolute hypovalemia? - CORRECT
| | | | | | | | | | |


ANSWER✔✔-absolute = reduction in total circulating blood volume | | | | | | | |




relative = decrease in the effective circulating blood volume (ex sepsis)
| | | | | | | | | |




What are the precipitating factors of cardiogenic shock? - CORRECT
| | | | | | | | | |


ANSWER✔✔-- Myocardial infarction | | |




- Cardiomyopathy
|




- Blunt cardiac injury
| | |




- Severe systemic or pulmonary hypertension
| | | | |




- Cardiac tamponade
| |




- Myocardial depression from metabolic problems
| | | | |

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