Complex Care Practice Study Guide Questions with Distinction level Marking scheme version 2024/2025

Complex Care Practice Study Guide Questions with Distinction level Marking scheme version 2024/2025 What is Neurogenic Shock? - correct answer Hemodynamic response to T5 or above spinal injury that causes massive vasodilation and decreased perfusion. What are the CM of Neurogenic Shock? - correct answer hypotension BRADYCARDIA Poikilothermia What is Anaphylactic Shock? - correct answer Hypersenitivity rxn resulting in massive vasodilation, increased cap permeability (fluid leaks) causing edema. What are the CM of Anaphylactic Shock? - correct answer sudden onset Dizziness Chest pain Swelling of lips/tongue Wheezing/stridor Flushing Pruritus Hives Angioedema What is Septic Shock? - correct answer Systemic infection causing vasodilation and increased cap permeability that results in hypotension despite fluids and inadequate Tissue perfusion. What are the CM of Septic Shock? - correct answer hypotension Hyperventilation Respiratory failure Altered neuro Decreased UO What is Obstructive Shock? - correct answer Physical obstruction to blood flow (cardiac tamponade, pneumothorax, PE, etc) decreases CO. What are CM of Obstructive Shock? - correct answer S/S of decreased CO JVD What is the priority nursing care for Shock? - correct answer Oxygenation & Ventilation (patent airway, deliver O2) How do you Evaluate Shock Tx? - correct answer baseline VS ECG normal sinus BP 80-120 CVP 2-8 PAWP 6-12 Normal temp Warm, dry skin UO 30 ml/hr Normal RR SPO2 90% What is emergency care for Shock? - correct answer assess abcs Stabilize spine Administer O2 Est. IV access Begin fluids (NS) Draw labs Control bleeding Assess injuries Vasopressors if hypotension persists Insert catheter Administer ABX after cultures ECG