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1

2 points to measure phlebostatic axis

(at the level of the atrium)

4th intercostal space

midaxilary line

2

causes of hypovolemic shock

hemmorhge
V&D
diabtes insipidus
burn victim

3

drug that helps remove potassium

polystyrene sulfonate

4

3 Noninvasive modalities for Hemodynamic Monitoring

Noninvasive blood pressure
Assessment of jugular venous pressure
Assessment of serum lactate levels

5

type of shock where

Follows invasion of a host by a microorganism

Systemic Inflammatory Response Syndrome (SIRS)
Widespread inflammatory response

Distributive Shock—Septic

6

3 nursing interventions for a patient witha hemodynamic monitor

supine position

Leveling the air fluid interface to the phlebostatic axis

infection control

7

with septic shock is lactate increased or decreased

Increased lactate
(normal: 0.5-1 / sometimes 2)

8

2 treatments for decreased contractility

inotrope drugs:

digoxin

dobutamine

9

cardiac output =

heart rate X stroke volume

10

2 Obstructive Shock interventions for PE

PE: thrombolytic , fibrinolytic (TPA)

11

7 Compensatory mechanisms of shock

More anti diuretic hormone produced
Increase in cortisol
Cool extremities
Respiratory alkalosis
oliguric (renin angiotensin aldosterone)

Hyperglycemic
Tachycardia

12

when the heart rate is too fast (SVT, AFIB, VTACH with pulse) as well as too slow (symptomatic sinus brady, blocks) can lead to _______ cardiac output

decreased

13

3 Obstructive Shock causes

PE
Cardiac tamponade
Tension pneumothorax

14

4 causes of cardiogenic causes

HF
Hypocalcemia
MI
Valve disease

15

device measure preload on leftt side of the heart

PAP

pulmonaary artery pressure

16

2 med treatment for decreased afterload

Vasoconstrictors (norepinephrine/levophed)

dopamine

17

3 Invasive modalities for Hemodynamic Monitoring

Arterial pressure monitoring

Right atrial pressure/central venous pressure monitoring

Pulmonary artery pressure monitoring

18

Normal PAOP/PAWP values are__________

wedge pressure

8-12 mm Hg

19

medication that increases contractility

dobutamine

20

4 causes of decreased preload

dehydration
V&D
hemmoraging
diabetes insipidus

21

5 causes of decreased contractility

HF
Hypocalcemia
Hypoxia

MI
Drugs (too much beta blockers)

22

with subclavian landmark for a Central venous pressure (CVP)/Right Atrial Pressure (RAP), one major risk factor is

pneumothorax

23

device measure preload on right side of the heart

central venous pressure / right artrial pressure

CVP /RAP

24

Stage of Shock where no obvious clinical signs

hypoperfusion starting

Initiation

25

medication that is an antihistamine

diphenhydramine

26

how to calculate MAP

systolic BP + diastolic BP x 2 /3

27

treatment for increased preload

diuretics
fluid volume restiction

28

lab values for AKI

Elevated: BUN and creatinine, magnesium, potassium & phosphorous.

Decreased: Hgb, platelets, calcium and GFR.

29

prior to insertion to verify collateral circulation in the extremity you want to do ________

Allen’s test

white - does not have goog circulatiion
pink- good circulation

30

2 causes of increased afterload

poorly controlled hypertension
pulmonary hypertension