When are pressors indicated in the treatment of shock?
It is indicated in massive blood loss or shock that is not responsive to significant crystalloid infusion (2L or 30 ml/kg). Pressors are not indicated in hypovolemic shock. Elderly patients and those with co-morbid illnesses may require blood products earlier than healthy adults. A 27 year old man is shot in the right leg. He is unconscious.
What is the correct emergency treatment for anaphylactic shock?
In a patient suffering from anaphylactic shock, the correct emergency treatment is epinephrine (especially in a young person in whom coronary disease is not a major concern). Steroids and diphenhydramine play a role in treatment of allergic reaction, but they are of a lower priority in anaphylaxis.
What is neurogenic shock and how is it treated?
This entity, called neurogenic shock, is a type of distributive shock like anaphylactic shock It is important to rule out other internal injuries in this patient, and then institute therapy with a pressor agent such as phenylephrine.
What is the goal of IV resuscitation during hypovolemic shock?
Have different treatment priorities During hypovolemic shock, hypotension tends to develop after the loss of what percent of blood volume? The answer is C. The goal of IV resuscitation is to restore intravascular volume.
What is the best treatment for anaphylactic shock?
In a patient suffering from anaphylactic shock, the correct emergency treatment is epinephrine (especially in a young person in whom coronary disease is not a major concern). Steroids and diphenhydramine play a role in treatment of allergic reaction, but they are of a lower priority in anaphylaxis.
What is neurogenic shock?
This entity, called neurogenic shock, is a type of distributive shock like anaphylactic shock It is important to rule out other internal injuries in this patient, and then institute therapy with a pressor agent such as phenylephrine.
What is the treatment for spinal cord injury?
The answer is C. Treatment of a spinal cord injury with neurogenic shock includes high dose steroids, IV fluids, immobilization, and potentially pressors. Blood transfusions are generally not indicated, and care must be taken to avoid fluid overload.
Is blood transfusion a first line treatment?
The answer is B. Blood transfusion can play a vital role in the treatment of hypovolemic shock from acute hemorrhage. It is generally not the first line treatment. It is indicated in massive blood loss or shock that is not responsive to significant crystalloid infusion (2L or 30 ml/kg).
Can you use a pressor in hypovolemic shock?
Pressors are not indicated in hypovolemic shock. Elderly patients and those with co-morbid illnesses may require blood products earlier than healthy adults. A 27 year old man is shot in the right leg. He is unconscious. The wound appears to be pulsatile.
What is cardiogenic shock?
C. Cardiogenic shock is the cause of death for many persons who have a myocardial infarction. Interventions are designed to reduce the risk of cardiogenic shock when treating a patient experiencing an MI. The nurse is providing care for a patient receiving treatment for cardiogenic shock.
Why is my urine output decreased in shock?
Urine output is typically decreased in shock. The inability to perspire on the lower portion of the body may indicate loss of sympathetic vascular tone. This loss can result from spinal cord injury and can occur in shock. The nurse is providing care to a patient admitted with a spinal cord injury.
What is compensatory mechanism for decreased tissue oxygenation?
A compensatory mechanism for decreased tissue oxygenation is the attempt to obtain additional oxygen through more rapid respirations. The nurse is caring for a patient in an area where advanced hemodynamics are not available.
Is Bradycardia a neurogenic shock?
Bradycardia is a common finding in neurogenic shock. This statement is appropriate for the nurse to include in the teaching session. The shock state can damage all organs. This statement is appropriate for the nurse to include in the teaching session.
Can spinal injury cause neurogenic shock?
Neurogenic shock may cause damage to abdominal organs. While injury to some areas of the spine is more likely to result in neurogenic shock, any spinal injury has the capacity to cause neurogenic shock.
Is atropine used for bradycardia?
Atropine is administered as treatment for bradycardia, which can occur as a result of cardiogenic shock. If the patient is not responsive to atropine, pacing is likely necessary. The nurse is providing care to a patient diagnosed with cardiogenic shock.