MDC 4 Final Exam Questions with 100%
Verified Correct Answers
What is shock?
inadequate tissue perfusion
Initial stage of shock
No visible changes in client parameters, changes are now occurring on the cellular
level only
Sign of compensatory stage of shock
BP is within normal limits because it is trying to maintain perfusion to vital organs
Sign of the progressive stage of shock.
BP dropping
Refractory stage of shock
Irreversible; Total body failure
Respiratory changes in shock
Shallow and rapid
General interventions for anyone experiencing shock?
IV and O2
Signs of hypoperfusion (shock) (everything but neurogenic shock)
- Tachycardia
- Hypotension
, - Cool, pale, clammy skin
- decreased urinary output
What are the later-stage cues of hypoperfusion when MAP is < 65 mmHg?
- Altered LOC
- oliguria
- metabolic acidosis with elevated lactate
- hypoxia
Dopamine and norepinephrine are...
Vasopressors
Dopamine is used in which two types of shock
Hypovolemic and cardiogenic
Dopamine is administered through?
a central line
What is the proper way to discontinue dopamine?
Taper down until vital signs improve
What diagnostic are you looking for when titrating dopamine to the patients needs?
MAP of 65
the goal of dobutamine is to...
increases cardiac output
dobutamine is treats which type of shock/
Verified Correct Answers
What is shock?
inadequate tissue perfusion
Initial stage of shock
No visible changes in client parameters, changes are now occurring on the cellular
level only
Sign of compensatory stage of shock
BP is within normal limits because it is trying to maintain perfusion to vital organs
Sign of the progressive stage of shock.
BP dropping
Refractory stage of shock
Irreversible; Total body failure
Respiratory changes in shock
Shallow and rapid
General interventions for anyone experiencing shock?
IV and O2
Signs of hypoperfusion (shock) (everything but neurogenic shock)
- Tachycardia
- Hypotension
, - Cool, pale, clammy skin
- decreased urinary output
What are the later-stage cues of hypoperfusion when MAP is < 65 mmHg?
- Altered LOC
- oliguria
- metabolic acidosis with elevated lactate
- hypoxia
Dopamine and norepinephrine are...
Vasopressors
Dopamine is used in which two types of shock
Hypovolemic and cardiogenic
Dopamine is administered through?
a central line
What is the proper way to discontinue dopamine?
Taper down until vital signs improve
What diagnostic are you looking for when titrating dopamine to the patients needs?
MAP of 65
the goal of dobutamine is to...
increases cardiac output
dobutamine is treats which type of shock/
