mdc 4 exam 2 latest version with complete and accurate solutions

mdc 4 exam 2 latest version with complete and accurate solutions types of shock Hypovolemic Distributive Cardiogenic Obstructive hypovolemic shock cause decrease in body fluid cardiogenic shock cause direct pump failure (ex. MI or heart failure) distributive shock cause fluid shift (ex. pain, anesthesia, spinal cord injury, head trauma, chemical-induced, anaphylaxis, sepsis, capillary leak, burns, extensive trauma, liver impairment, hypoproteinemia) obstructive shock cause cardiac function decreased by noncardiac factor (ex. cardiac tamponade, tension pneumothorax) Shock and SNS mechanism increased HR, Increased RR, increased glycolysis, decreased urinary output, shunt blood away from less vital organs, vasoconstriction shock: gas exchange and perfusion* stages of shock * initial * nonprogressive * progressive * refractory Initial stage of shock s/s decrease in MAP of 5-10, mild vasoconstriction, increased HR nonprogressive stage of shock s/s decrease in MAP of 10-15, moderate vasoconstriction, increased heart rate, decreased pulse pressure, decreased urine output, thirsty, mild acidosis, mild hyperkalemia progressive stage of shock s/s decrease in MAP >20, moderate acidosis, moderate hyperkalemia, tissue ischemia refractory stage of shock s/s tissue ischemia and necrosis, myocardial depressant, multiple organ dysfunction, death stages of shock management* administer meds, cardiac monitoring how to calculate MAP (SBP + 2DBP)/3 goal number is >60 complications of shock Acute respiratory distress syndrome Acute renal failure Gastrointestinal complications Disseminated intravascular coagulation Multiple organ dysfunction syndrome Pharmacology with shock vasopressors shock interprofessional collaborative care* Burns --> Fluid and Electrolyte Balance* care for burn injury* care for shock from burns* coping with psychosocial impact of burn injury*