Advanced Med Surg Final Exam Questions and Expert Solutions

Shock ... Pathophysiology of shock Decreased Blood Volume Decreased Venous Return Decreased Stroke Volume Decreased Cardiac Output Decreased Tissue Perfusion Shock Interventions and complications associated with interventions **Vasopressor Agents**- Dopamine **Action** - Increases BP by vasoconstriction **Disadvantage** - Increases afterload, thereby increasing cardiac workload; compromising perfusion to skin, kidneys, lungs, and GI tract -**TAPER - NEVER STOP ABRUPTLY - can cause severe hemodynamic instability** -**Always given through a central line** -**Frequent monitoring of BP every 15 minutes** Pt has a dopamine drip, what would be a good nursing diagnosis? Ineffective Tissue Perfusion What is a complication of fluid resuscitation? Pulmonary edema Care associated with Buck's traction for hip fracture **Neuro checks every 30 minutes and then every 1-2 hours** Ensuring effective traction -*do not remove weight* keep system free of obstacles -knots on the pulleys -keep weights off floor maintain proper body alignment