TAP 250 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

TAP 250 FINAL EXAM QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS
stages of shock - ANSWERS1-Early, reversible, and compensatory shock: HR elevated,
MAP decreased
2-Immediate or progressive shock: decreased perfusion, showing symptoms
3-Refractory or irreversibly shock: death of tissues and organs

cardiogenic shock tx - ANSWERS*refperfusion, improve CO, ventilation*
-O2
-morphine
-BB
-dobutamine/norepinephrine (improve CO)
-dopamine (improve BP)
-nitro (venous dilator)
-furosemide (Reduce workload of heart)
-LVAD

obstructive shock tx - ANSWERS-reverse obstruction
-O2
-CT to detect cause
-reduce cardiac workload/increase CO
-assess LOC/vitals


hypovolemic shock tx - ANSWERS-replace intravascular volume = crystalloids
-tx underlying cause: stop bleeding, replace plasma/fl
-aldosterone, ADH (retain fl)
-vasopressin: increase BP
-position: modified trendelemburg

colloids - ANSWERS-albumin/hetastarch
-give when in fl overload
-monitor cardiac because fl shift
-then give diuretics- monitor kidneys
-prevent hypothermia
septic shock tx - ANSWERS-IV fluids: 3ml/kg bolus
-ABX
-vasopressor
-corticosteroids
-control fever