WorksheetsTissue Perfusion: Shock Syndromes
Total questions: 20
Worksheet time: 10mins
Which type of shock leads to SIRS (Systemic inflammatory response syndrome)?
Cardiogenic Shock
Anaphylactic Shock
Septic Shock
All of the above
If adequate treatment is not provided during the SIRS stage, what will the shock progress to?
Fluid volume overload
Airway closure
Multi-Organ Dysfunction Syndrome (MODS)
Decreased cardiac output
What are some things that could lead to hypovolemic shock? Select all that apply.
Allergic reaction to medication.
Pericarditis
Hemorrhage
Burns
Extreme malnourishment
Which type of shock involves histamines causing vasodilation?
Hypovolemic
Neurogenic
Anaphylactic
Septic
A patient with severe burns is experiencing tachycardia, tachypnea, edema, weak peripheral pulses, hypotension and decreased urinary output. Which type of shock does the nurse suspect?
Absolute hypovolemic shock
Septic shock
Cardiogenic shock
Relative hypovolemic shock
What is the second stage of hypovolemic shock?
Progressive stage
Initial stage
Non-progressive stage
Refractory stage
What are some of the compensatory mechanisms the body uses to battle shock? Select all that apply.
Increased cardiac contractility to increase BP
ADH and Aldosterone are released to cause selective vasoconstriction and increase preload.
Body temperature drops to slow metabolism
Auto-transfusion: fluid is shifted from interstitial spaces to intravascular spaces.
HR and RR both slow as the body focuses all energy on self preservation.
Retention of lactic acid,a byproduct of anaerobic respiration, generally leads to what?
Respiratory alkalosis
Respiratory acidosis
Metabolic alkalosis
Metabolic acidosis or Respiratory acidosis
Which of the following volume expanders are considered crystalloids?
PRBCs
Normal saline
Platelets
Plasma
Lacatated Ringers
If a patient's MAP remains low after fluid volume replacement, what is the next step of treatment?
Blood transfusion
A different type of fluid
Vasopressors
Steroids
A low CVP indicates...
Hypervolemia
Hypovolemia
Hyperkalemia
Hypokalemia
Early manifestations of anaphylactic shock include: (select all that apply)
Cyanosis
Erythema
Stridor
Pruritus
Angioedema
Which lab findings support a diagnosis of sepsis? Select all that apply.
CRP: 18 mg/L
Creatinine: 0.1 mg/dL
Lactate: 6 mmol/L
INR: 4.2
Uric acid: 1.2 mg/dL
Why are steroids used to treat shock? Select all that apply.
Reduction of inflammation due to infection.
Reduction of glucose levels
Assist with BP control by causing fluid retention.
Draws fluid to the peripheral parts of the body.
Analgesia
According to the sepsis bundle, which actions must be completed within three hours of admission?
Administer vasopressors
Measure lactate levels twice, two hours apart.
Obtain blood cultures prior to administering antibiotics.
Administer blood products
Administer crystalloids in the amount of 30 ml/kg
Disseminated Intravascular Coagulation (DIC) is characterized by: (Select all that apply)
Excessive urination
Bruising of skin and mucous membranes
Petechiae, purpuric papules, and blood filled blisters
Sudden drop in body temperature
Overall ruddy appearance that may resemble a sunburn
Which of the following should be administered via a central line rather than peripheral?
Three prophylactic doses of Cefepime for a patient following abdominal surgery.
TPN for a patient on extended bowel rest.
Dobutamine for a patient with septic shock.
Pantoprazole for a patient with an NG tube.
Furosemide for a patient with CHF.
A MAP of 58 mmHg is a medical emergency. Why?
The patient could have a stroke.
The patient's vital organs (heart, brain, kidneys) are not receiving adequate perfusion to avoid ischemia.
The patient is experiencing heart failure.
The patient is at risk for coronary artery rupture.
During Multiple Organ Dysfunction Syndrome (MODS), which body system typically fails first?
Renal system
Gastrointestinal system
Respiratory system
Nervous system
Cytokines cause vasodilation during what type of shock?
Anaphylactic shock
Neurogenic shock
Septic shock
Hypovolemic shock
