Exam 4 NSG 430 Latest Update 2024-2025 Actual Exam from Credible Source with Questions and 100% Verified Detailed Correct Answers Guaranteed
#1 cause of DIC - CORRECT ANSWER: septic shock
A bleeding disorder that increases clotting factors and platelets - CORRECT ANSWER: Disseminated Intravascular Coagulation
C.M.- T: >100.4 or <96.8, RR>20, HR>90, WBC>12,000 or <4,000, PCO2<32 mmHg
indicates what - CORRECT ANSWER: SIRS- systemic inflammatory response
syndrome
cause of cariogenic shock - CORRECT ANSWER: MI
cause of neurogenic shock - CORRECT ANSWER: injury of T6 and above
cause of septic shock - CORRECT ANSWER: INFECTION
CM for DIC - CORRECT ANSWER: petechiae, bloody stools, pallor/cyanosis, bone and joint pain
CM for septic shock - CORRECT ANSWER: -increased clotting and inflammation
-increased RR -decreased UO -increased CO
-WARM AND FLUSHED
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CM of leukemia - CORRECT ANSWER: abrupt fever and bleeding, >100,000 WBC
CM of neurogenic shock - CORRECT ANSWER: warm, bradycardic, hypotensive
diagnostic for cariogenic shock - CORRECT ANSWER: 12-lead EKG
Diagnostic for DIC - CORRECT ANSWER: D-dimer
Diagnostic for leukemia - CORRECT ANSWER: bone marrow biopsy
Diagnostic to identify that someone is in shock - CORRECT ANSWER: elevation of
lactate
do you give colloids (albumin) to someone in neurogenic shock? - CORRECT
ANSWER: NO!!!!
Do you give fluids to someone in cariogenic shock? - CORRECT ANSWER: NO! b/c you don't want fluid overload since they're in HF
During MODS what do you want to keep glucose at? - CORRECT ANSWER: use insulin
infusion to keep glucose at 140 to 180
MAIN TX FOR SHOCK, EXCEPT FOR CARDIOGENIC AND NEUROGENIC
(cautiously) - CORRECT ANSWER: GIVE FLUIDS AND BLOOD
N.I. for shock - CORRECT ANSWER: Crystalloids + colloid fluids, blood transfusion, mechanical ventilation Vosyn (vancomycin + Zosyn)
S&S of cardiogenic shock - CORRECT ANSWER: same as HF: tachycardia, low BP, crackles, cool clammy skin, anxiety, urinary retention
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