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NSB236 Exam revision Questions and Correct Answers the Latest Update R232,91   Add to cart

Exam (elaborations)

NSB236 Exam revision Questions and Correct Answers the Latest Update

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  • Course
  • NSB236
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  • NSB236

LOLs beta blockers; used to slow down HR and allow for ventricular filling to ensure adequate stroke volume PINEs Calcium Channel Blockers; lowers BP by blocking calcium (which causes vessels and the heart to contract more strongly). By blocking calcium, calcium channel blockers allow bl...

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  • November 7, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSB236
  • NSB236
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NSB236 Exam revision Questions
and Correct Answers the Latest
Update
LOLs


✓ beta blockers; used to slow down HR and allow for ventricular filling to ensure
adequate stroke volume



PINEs


✓ Calcium Channel Blockers; lowers BP by blocking calcium (which causes vessels and
the heart to contract more strongly). By blocking calcium, calcium channel blockers
allow blood vessels to relax and open.



RILs


✓ Vasodilators; dilate blood vessels and arteries, increasing the ease of blood flow



Amioderone / Flecanide


✓ Antiarrhythmic; prevent and treat abnormal heart beats



Adrenaline


✓ Adrenaline is a cardiac stimulant (increased HR and CO), bronchodilator, and assists
with peripheral vasodilation




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Hydrocortisone


✓ decreases inflammation and reverses increased capillary permeability, aids in
improving blood pressure and heart rate and is used in anaphylaxis if hypotension
persists after initial therapy



Antihistamines


✓ block histamines from binding with histamine receptor sites in tissues



Salbutomol


✓ Salbutamol is used to relieve symptoms of asthma and chronic obstructive
pulmonary disease (COPD) such as coughing, wheezing and feeling breathless. It
works by relaxing the muscles of the airways into the lungs, which makes it easier to
breathe. Salbutamol comes in an inhaler (puffer).



Neuro Assessment


✓ GCS



Respiratory Assessment


✓ RR, sp02, accessory muscles



Cardio Assessment


✓ HR, BP, cap refill, ECG




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Renal assessment


✓ Urine output, urea, creatinine, eGFR



Immunilogical


✓ Temp, WBC count



Clinical care for Sepsis and Septic Shock, action and body's response


✓ - Consider root cause
✓ - Administer antibiotics (broad spectrum eg vancomycin until source of infection is
specified and then tailor)
✓ - Consider antimicrobial stewardship and renal function
✓ - Response: drop in temperature, decreased white cell count

✓ Fluids: to increase blood pressure and end organ perfusion (30ml/kg in the first hour)
✓ Response: increased urine output indicating sufficient renal perfusion

✓ Vasopressor: causes vasoconstriction to ensure adequate end organ perfusion
✓ Results: monitor BP and HR



Overall aim of treatment of sepsis and results


✓ To correct hypoperfusion caused by vasodilation

✓ Results:
✓ - MAP >65
✓ - BP with SBP >100
✓ - peripheral perfusion
✓ - Decreased RR

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