CCR Part 1 Final Exam Questions & Answers 2024/2025

CCR Part 1 Final Exam Questions & Answers 2024/2025 Shock, risk factors, types, clinical course, stages, clinical assessment, manifestations, collaborative care nursing mgmt - ANSWERSTypes of shock -Hypovolemic shock -Cardiogenic shock -Obstructive shock -Distributive shock (anaphylactic, neurogenic, septic) DO2 = oxygen delivery VO2 = oxygen consumption Stages of shock: -Initial stage: CO dec. tissue perfusion threatened, anerobic metabolism and lactic acidosis start WARM SHOCK: -Almost immediately, compensatory stage begins to maintain BP, CO, tissue perfusion. Manifests as Inc. CO, redistribute blood flow, restore blood volume for improved O2 delivery COLD SHOCK: -Progressive stage: Compensatory mechanisms fail to meet tissue, shock cycle is perpetuated. Major dysfunction of many organs -> MODS -Refractory stage: Shock is unresponsive to conventional therapy, considered irreversible. -> Profound hypotension and hypoxemia -> circ. failure -> total body failure -> death LOW blood flow shock: -Cardiogenic/hypovolemic Maldistribution of blood flow d/t vascular bed related -Neurogenic/anaphylactic/septic