Exam 2) NUR426 exam 2: Questions & Answers

Exam 2) NUR426 exam 2: Questions & Answers

life threatening condition in which tissue perfusion is inadequate to deliver oxygen and nutrients to
support cellular function - ANSWER:shock

normal cardiac output is ___ to ___ L/min - ANSWER:4, 8

normal cardiac index is ____ to ____ L/min - ANSWER:2.5, 4.0

normal ejection fraction is ___% to ___% - ANSWER:55, 70

the volume of blood that is left in the ventricles at the end of diastole - ANSWER:preload

resistance to ejection of the left ventricle - ANSWER:after load

you do not want your systolic blood pressure to be less than ____ - ANSWER:90

normal cvp is ___ to ___ mmHg - ANSWER:4, 12

normal pap is ____ to ___ - ANSWER:6, 12

normal svo2 is ____% to ____% - ANSWER:60, 80

you normally utilize ___% to ___%of oxygen in arterial blood to supply the needs of all organs -
ANSWER:25, 30

stages of shock:

1.

2.

3. - ANSWER:compensatory stage, progressive stage, refractory stage

neuro signs and symptoms of compensatory stage of shock:

1.

2. - ANSWER:confusion, agitation

cardiovascular signs and symptoms of compensatory stage of shock:

1. heart rate greater than _____

2. increased ________

3.

4.

5. - ANSWER:100, contractility, narrowed pulse pressure, normal bp, decreased sv02

pulmonary signs and symptoms of compensatory stage of shock:

,1.

2. - ANSWER:tachypnea, respiratory alkalosis

gi signs and symptoms of compensatory stage of shock:

1. decreased ______

2. - ANSWER:flow, risk of ileus

renal signs and symptoms of compensatory stage of shock:

1. activation of ______

2. - ANSWER:raas, decreased urinary output

skin signs and symptoms of compensatory stage of shock:

1. ________ and _________ - ANSWER:cold, clammy skin

during the compensatory stage of shock ______ is slightly elevated because anaerobic metabolism is
occurring due to oxygen not being received - ANSWER:lactic acid

if ________ is narrowed it is an early indicator that the cardiac output is decreasing - ANSWER:pulse
pressure

normal lactic acid is ___ - ANSWER:2

neuro signs and symptoms of progressive stage of shock:

1.

2. - ANSWER:decreased responsiveness, lethargy

cv signs and symptoms of progressive stage of shock:

1. heart rate more than ____

2.

3.

4.

5. systolic blood pressure less than ____

6. svo2 less than ___ - ANSWER:150, prolonged capillary refill, decreased coronary perfusion,
dysrhythmias, 90, 60

pulmonary signs and symptoms of progressive stage of shock:

1.

2.

3. pao2 less than ____

, 4. - ANSWER:rapid shallow respirations, crackles, 80, respiratory acidosis

renal signs and symptoms of progressive stage of shock:

1.

2.

3. increase in _____ and _______ - ANSWER:aki, oliguria, bun, creatinine

gi signs and symptoms of progressive stage of shock:

1. - ANSWER:risk of bleed

hepatic signs and symptoms of progressive stage of shock:

1.

2.

3.

4. - ANSWER:increased lactate, increased ammonia, increased liver enzymes, metabolic acidosis

hematologic signs and symptoms of progressive stage of shock:

1. - ANSWER:petechiae

temperature signs and symptoms of progressive stage of shock:

1. - ANSWER:cool

skin signs and symptoms of progressive stage of shock:

1. ______ skin

2. - ANSWER:mottled, anasarca

neuro signs and symptoms of refractory stage of shock:

1.

2. - ANSWER:unresponsive, unconscious

cv signs and symptoms of refractory stage of shock:

1. requires ________ - ANSWER:mechanical support

pulmonary signs and symptoms of refractory stage of shock:

1. requires ________ - ANSWER:ventilator

gi signs and symptoms of refractory stage of shock:

1. - ANSWER:ischemic gut

renal signs and symptoms of refractory stage of shock: