Share Shock, Sepsis, & MDROs
Save to Folder
The patient is in the refractory stage of shock. Which plasma volume expander is appropriate?
Albumin, Dextran
In addition to the short over the needle catheter, which other devices are considered as peripheral accesses
Midline catheters, steel-winged devices (butterfly needles)
A patient with a left upper arm midline as the only access has an order for TPN therapy. What is the most appropriate nursing action?
Contact the provider to request a central access
This IV complication is characterized by blanched skin that is cool to the touch, edema & burning at the insertion site or along the path of the vein, and leaking of fluid from the insertion site
Infiltration
A client returns to the floor after spinal anesthesia. What should the nurse monitor and why?
Restoration of sensation; vital signs especially HR and BP
This stage of shock is characterized by lethargy, hypotension, anuria, dysrhythmias, cold extremities, weak or absent pulses.
Progressive stage
This stage of shock is often irreversible and is characterized by coma, severe hypotension, multi-organ failure.
Refractory stage
This parameter provides information about a patient’s volume status, by measuring the pressure of the blood in the right atrium. Normal 2-6 mmHg; a reading of 5-10 mmHg is an indication of adequate fluid resuscitation
Central Venous Pressure (CVP)
A client presents to the emergency room C/O difficulty breathing after being stung by a bee. What is the priority treatment for this patient?
Administer IM Epinephrine.
A patient is admitted in cardiogenic shock due to decompensated CHF. Which cardiac inotrope does the nurse expect to be ordered to increase myocardial contractility and cardiac output?
Dobutamine
What are the main causes of obstructive shock?
Cardiac tamponade, pulmonary embolism, tension pneumothorax
What is the treatment for obstructive shock caused by cardiac tamponade?
Pericardiocentesis, pericardial window
In which type of shock does the parasympathetic system relax everything, causing vasodilation, hypotension, and bradycardia?
Neurogenic shock
Temperature 101, HR 91, RR 22, WBC 14,000 + CXR showing a possible PNA suggests that the patient has _______
Sepsis
The bundle of care includes activities that need to be completed within 1 hour after identifying sepsis. What is included in the Bundle of care?
Serum lactate, blood cultures, broad spectrum antibiotics, fluid resuscitation, vasopressor if BP unresponsive to fluid resuscitation
A patient diagnosed with septic shock, who is confused, ventilated, has decreased platelets, & increased creatinine is showing dysfunction in which organ systems?
cerebrovascular, respiratory, cardiovascular, hematological, renal systems
