ANCC ADULT GERONTOLOGY ACUTE CARE EXAM WITH 100% CORRECT ANSWERS

Cardiac Index - correct answer 2-4 SVR/Afterload - correct answer 800-1200 MAP - correct answer mean CVx80/CO PA pressure - correct answer 15-30 Wedge PCWP pressure - correct answer 6-12 Hypovolemic Shock Parameters - correct answer Preload CVP decreased, SVR afterload increased, CI decreased, Oxygen delivery Decreased, Venous Oxygen saturation increased Types of hypovolemic shock - correct answer Hemorrhage, burns, pancreatitis Cardiogenic shock parameters - correct answer CVP preload increased, SVR afterload increased, CI decreased, oxygen delivery decreased, SV02 decreased Types of cardiogenic shock - correct answer Post mi, malignant dysrhythmia, acute myocarditis Obstructive shock parameters - correct answer Preload either, SVR increased, CI decreased, oxygen delivery decreased, SV02 decreased Types of obstructive shock - correct answer Tension pneumo, cardiac tamponade, PE Distributive shock parameters - correct answer Preload CVP decreased, afterload SVR decreased, CI increased, SV02 decreased, oxygen delivery increased Types of distributive shock - correct answer Septic shock, anaphylaxis, neurogenic shock CVP Preload - correct answer 2-8 Cardiac Output - correct answer 4-8 MAP - correct answer 70-90 Fractional Excretion of NA <1% - correct answer Prerenal state of kidney dysfunction (i.e. dehydration) Fractional Excretion of NA >2% - correct answer ATN (acute tubular necrosis) CPP equation - correct answer MAP-ICP SIADH Hyposmolar hyponatremia "inappropriate water retention" - correct answer serum sodium low, serum osmo low <280, urine osmo high >100, no dehydration, tx restrict fluids if neuro symptoms give 3%NS DI Hyperosmolar hypernatrem