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Exam (elaborations)

NSB236 Questions and Correct Answers the Latest Update

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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 ? #Examify | #OnlineExams | #TestPrep | #StudyResources | #AcademicSuccess | #ExamPreparation | #QuizTime | #LearningTools | #Education | #StudentSupport Examify | Smart Grades | Latest update 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 ? #Examify | #OnlineExams | #TestPrep | #StudyResources | #AcademicSuccess | #ExamPreparation | #QuizTime | #LearningTools | #Education | #StudentSupport Examify | Smart Grades | Latest update 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

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NSB236
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NSB236

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Uploaded on
November 7, 2024
Number of pages
47
Written in
2024/2025
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#Examify | #OnlineExams | #TestPrep | #StudyResources | #AcademicSuccess |
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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 ?


Examify | Smart Grades | Latest update

,#Examify | #OnlineExams | #TestPrep | #StudyResources | #AcademicSuccess |
#ExamPreparation | #QuizTime | #LearningTools | #Education | #StudentSupport

✓ 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 ?

Examify | Smart Grades | Latest update

,#Examify | #OnlineExams | #TestPrep | #StudyResources | #AcademicSuccess |
#ExamPreparation | #QuizTime | #LearningTools | #Education | #StudentSupport

✓ 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




Examify | Smart Grades | Latest update

, #Examify | #OnlineExams | #TestPrep | #StudyResources | #AcademicSuccess |
#ExamPreparation | #QuizTime | #LearningTools | #Education | #StudentSupport

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



Examify | Smart Grades | Latest update

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