MDC 4 EXAM 2|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS

types of shock Hypovolemic Distributive Cardiogenic Obstructive hypovolemic shock cause decrease in body fluid cardiogenic shock cause direct pump failure (ex. MI or heart failure) distributive shock cause fluid shift (ex. pain, anesthesia, spinal cord injury, head trauma, chemical-induced, anaphylaxis, sepsis, capillary leak, burns, extensive trauma, liver impairment, hypoproteinemia) obstructive shock cause cardiac function decreased by noncardiac factor (ex. cardiac tamponade, tension pneumothorax) Shock and SNS mechanism increased HR, Increased RR, increased glycolysis, decreased urinary output, shunt blood away from less vital organs, vasoconstriction shock: gas exchange and perfusion* stages of shock * initial * nonprogressive * progressive * refractory Initial stage of shock s/s decrease in MAP of 5-10, mild vasoconstriction, increased HR nonprogressive stage of shock s/s decrease in MAP of 10-15, moderate vasoconstriction, increased heart rate, decreased pulse pressure, decreased urine output, thirsty, mild acidosis, mild hyperkalemia progressive stage of shock s/s decrease in MAP 20, moderate acidosis, moderate hyperkalemia, tissue ischemia refractory stage of shock s/s tissue ischemia and necrosis, myocardial depressant, multiple organ dysfunction, death stages of shock management* administer meds, cardiac monitoring how to calculate MAP (SBP + 2DBP)/3 goal number is 60 complications of shock Acute respiratory distress syndrome Acute renal failure Gastrointestinal complications Disseminated intravascular coagulation Multiple organ dysfunction syndrome Pharmacology with shock vasopressors shock interprofessional collaborative care* Burns -- Fluid and Electrolyte Balance* care for burn injury* care for shock from burns* coping with psychosocial impact of burn injury* optimal pain control and comfort measures for burn injury* Burn Priorities* escharotomy removal of burn scar tissue fasciotomy a surgical incision through the fascia to relieve tension or pressure skin graft transplantation of healthy tissue to an injured site inhalation injury An injury to the airway as a result of breathing smoke and toxic chemicals into the lungs and airway. thermal burn brief contact with dry or moist heat electrical burn a burn received from touching a live wire scald burn A burn caused by hot liquids. contact burn A burn caused by direct contact with a hot object. parkland formula* Method of calculating fluid repletion in burn patients. rule of 9s* Head and neck = 9% Upper Ex = 9% each Lower Ex = 9% each Front trunk = 18% Back trunk = 18% anticoagulation therapy* Drugs used to reduce blood clotting promote gas exchange in a pt with respiratory problems* education to decrease risk for severe respiratory damage or disease*