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NSB236 Questions and Correct
Answers the Latest Update
What are the signs of the hypovolemic shock ?
✓ Decrease BP, increase HR, Cool/clammy skin, pale
What is the sympathetic nervous system's fight or flight response ?
✓ Dilation of pupils, increased respiratory rate and heart rate.
What is the net effect of the renin-angiotensin-aldosterone system in
compensatory shock ?
✓ Increase blood pressure through vasoconstriction and increased venous return
through retention of sodium and water.
What are the most important cells in the inflammatory process ?
✓ Endothelial cells
What is the refractory stage of shock ?
✓ Profound hypotension despite the administration of vasoactive drugs.
Between, Aldosterone, Renin, Angiotensin II and Antidiuretic hormone (ADH),
which one is a potent vasoconstrictor ?
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✓ Angiotensin II
Which condition produces a hypovolemic shock state ?
✓ Third spacing
Which condition characterises cardiogenic shock ?
✓ Impaired cardiac contractility and cardiac output
What is the role of ACTH, aldosterone and ADH ?
✓ Conserve the amount of fluid excreted by the kidneys
What is common to all the shocks ?
✓ Inadequate oxygen delivery to meet cellular oxygen demands
Mr T is in hypovolemic shock. Which clinical manifestation would be present ?
✓ Vasoconstriction and decreased cardiac output
What are the crystalloid for ?
✓ Given to supplement Hb concentration, possess oncotic capabilities, restore fluid
volume and increase preload.
What is preload ?
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✓ Amount of load in the ventricle prior to contraction (filling pressure) = how full the
tank is.
What is afterload ?
✓ Pressure that the heart must work to eject blood during systole.
What is cardiac output ?
✓ The amount of blood pumped by the heart per minute through the body.
When shock develops, the body attempts to meet the response through which
mechanism ?
✓ Releasing cortisol, noradrenaline and adrenaline
What elicit the inflammatory response ?
✓ Chemical mediators
How the aldosterone increases the blood volume ?
✓ Increase water and sodium retention and decrease potassium retention
What are the different stages of shock ?
✓ Compensatory, initial and progressive
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Cardiac output formula
✓ CO = HR x SV
How does the body maintain the cardiac output ?
✓ SV decrease due to blood loss, then heart rate will increase to compensate.
What is the pulse pressure ?
✓ Difference between systolic and diastolic pressure
What does pulse pressure indicates ?
✓ How well the patient maintain cardiac output
Why a narrowing in pulse pressure occurs ?
✓ To keep an adequate average pressure through the vascular system to support vital
organs
What is the first clinical sign in clinical deterioration ?
✓ Respiratory rate
What is the seagull sign?
✓ Heart rate higher than the systolic blood pressure
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