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Shock
Exam 1
19
Nursing
Undergraduate 1
01/31/2019

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Term
Shock
Definition
Decreased circulatory blood volume leading to impaired tissue perfusion
Term
Classic signs of shock
Definition
Tacychardia, Tachypnea, Decreased blood pressure, cool,clammy skin,oliguria,restlessness
Term
Compensatory mechanism for shock
Definition
Pressoreceptors- sympathetic Nervous system- vasoconstriction of peripheral and renal vessels
Term
Compensatory mechanism of shock
Definition
Osmoreceptors- Stimulation of hypothalamus- stimulation of ADH- retention of water
Term
Compensatory mechanism for shock
Definition
Chemoreceptors-RAAS-Reabsorption of sodium and water
Term
Normal CVP (Central Venous Pressure)
Definition
2-8 mmHG
Term
Pulmonary Artery Pressure monitors
Definition
Preload, Contractility, Afterload
Term
Hemodynamic Monitoring
Definition
Done on Brown Port(16 Gauge)
Term
Stages of Shock
Definition
Compensatory, Progressive,Refractory
Term
Compensatory(early) Stage of Shock
Definition
Compensatory mechanisms respond to an imbalance of oxygen demand and supply
Term
Progressive(Classic) Stage of Shock
Definition
Compensatory mechanisms start to fail
Term
Refractory(Late) Stage of Shock
Definition
Mechanisms have failed
Term
S&S of refractory Stage of shock
Definition
<HR(Bradycardia), Resp failure, BP too low, Anuria, Mottled skin, Unconscious
Term
Early Symptoms of Shock
Definition
>HR and >RR
Term
Vaspressors examples
Definition
Dopamine(Intoprin) and Levophed( Noepinephrine)
Term
Inotropic Drug that acts of Beta and alpha receptors
Definition
Dopamine
Term
Nursing Interventions for Shock
Definition
2L Oxygen,
2 Large Bore IV'S,
Modified Trendelenberg,
VS Q15min,
Urinary Catheter,
Vasopressors,
Psychological care
Term
S&S of compensatory Stage of Shock
Definition
>HR, >RR, Normal BP, Normal urine output, Skin variable,Restless
Term
S&S of progressive Stage of Shock
Definition
>HR, >RR,
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