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CCRN Multisystem Questions and Answers well Explained Latest 2024/2025 Update 100% Correct. $7.99   Add to cart

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CCRN Multisystem Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.

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  • Course
  • CCRN Multisystem
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  • CCRN Multisystem

What patients should not receive NS for fluid replacement? - Hypernatremic Renal failure (R/t risk of hyperchloremic acidosis) What are the goals of fluid resuscitation for patients in shock? - MAP >65 CVP ~6 mmHg Urine output 0.5 ml/kg/hr Hgb >7 Symptoms of hypovolemic shock - Decrease...

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  • September 8, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CCRN Multisystem
  • CCRN Multisystem
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ACADEMICMATERIALS
CCRN Multisystem

What patients should not receive NS for fluid replacement? - Hypernatremic

Renal failure (R/t risk of hyperchloremic acidosis)



What are the goals of fluid resuscitation for patients in shock? - MAP >65

CVP ~6 mmHg

Urine output 0.5 ml/kg/hr

Hgb >7



Symptoms of hypovolemic shock - Decreased BP

Decreased cardiac output

Tachycardia

Increased SVR



What are the 3 stages of shock? - 1. Compensatory

2. Progressive

3. Refractory/Irreversible



Compensatory stage of shock - Shock symptoms start to set in, but blood pressure is MAINTAINED
through the sympathetic nervous system response



Symptoms of compensatory shock - Tachycardia

Tachypnea

Pale, cool skin

Anxiety

, NORMAL BLOOD PRESSURE



How is blood pressure maintained during the compensatory stage of shock? - The sympathetic
nervous system is stimulated, causing diffuse vasoconstriction and increasing heart rate/contractility.
This temporarily keeps blood pressure WDL.



Progressive stage of shock - Hypotension starts to set in as sympathetic stimulation and
compensatory mechanisms are not enough to maintain homeostasis.




Refractory stage of shock - Shock that is unresponsive to interventions as multisystem organ
failure starts to kick in



Symptoms of Refractory shock - Organ failure (Kidney failure r/t tubular necrosis, encephalopathy,
liver failure, etc...)

End-stage hypotension



6 types of shock - Hypovolemic

Septic

Anaphylaxis

Neurogenic (not on test)

Obstructive

Cardiogenic




Treatment of hypovolemic shock - Fix the problem

Replace blood/fluid as soon as possible

(2 large bore IVs)



Fluids should be warmed if the patient has received more that ___ ml in an hour - 2000

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