100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
CCRN Multisystem Questions and Answers well Explained Latest 2024/2025 Update 100% Correct. CA$11.60   Add to cart
Quickly navigate to
Preview
  2.  
  3. CCRN Multisystem
  4.  
  5. CCRN Multisystem

Exam (elaborations)

CCRN Multisystem Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.
 7 views  0 purchase
  • Course
  • CCRN Multisystem
  • Institution
  • 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...

[Show more]

Preview 2 out of 8  pages

Document information

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

Subjects

  • ccrn multisystem

Written for

  • CCRN Multisystem
  • CCRN Multisystem

Seller

avatar-seller
ACADEMICMATERIALS

Reviews received

Content preview

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

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$11.60. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79223 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$11.60
  • (0)
  Add to cart