Podcast
Questions and Answers
What is the primary focus of critical care nursing?
What is the primary focus of critical care nursing?
- Dealing with life-threatening conditions (correct)
- Managing routine health check-ups
- Educating patients on preventive measures
- Providing long-term care for chronic illnesses
What is one of the responsibilities of caregivers in critical care?
What is one of the responsibilities of caregivers in critical care?
- Administering routine vaccinations
- Monitoring patient bills
- Providing reassurance on patient care (correct)
- Counseling families on dietary changes
Which environment is characterized as being designed for critically ill patients?
Which environment is characterized as being designed for critically ill patients?
- Critical care units or ICUs (correct)
- General medical wards
- Outpatient clinics
- Rehabilitation centers
What describes progressive care units?
What describes progressive care units?
What issue related to caregivers involves patients’ feelings about their care?
What issue related to caregivers involves patients’ feelings about their care?
Which of the following is a priority in culturally competent care?
Which of the following is a priority in culturally competent care?
Why might critically ill patients feel uncomfortable in an ICU environment?
Why might critically ill patients feel uncomfortable in an ICU environment?
What is a potential issue caregivers face related to the patient's daily routine?
What is a potential issue caregivers face related to the patient's daily routine?
What is the primary cause of hypoperfusion in patients with acute cardiovascular conditions?
What is the primary cause of hypoperfusion in patients with acute cardiovascular conditions?
Which symptom is least likely to be associated with declining mental status in these patients?
Which symptom is least likely to be associated with declining mental status in these patients?
What nursing responsibility is crucial during the management of cardiogenic shock?
What nursing responsibility is crucial during the management of cardiogenic shock?
Which medication is commonly used for pain control in cardiogenic shock management?
Which medication is commonly used for pain control in cardiogenic shock management?
What condition can worsen due to hypoperfusion of the alveoli?
What condition can worsen due to hypoperfusion of the alveoli?
Which of the following is NOT a common cardiac-related cause of acute hypotension?
Which of the following is NOT a common cardiac-related cause of acute hypotension?
What does the use of vasoactive medication aim to achieve in patients with cardiogenic shock?
What does the use of vasoactive medication aim to achieve in patients with cardiogenic shock?
What subtle change in assessment is important to report during cardiogenic shock management?
What subtle change in assessment is important to report during cardiogenic shock management?
What is the most common food known to cause anaphylactic shock?
What is the most common food known to cause anaphylactic shock?
Which of the following is NOT a treatment for anaphylactic shock?
Which of the following is NOT a treatment for anaphylactic shock?
Which condition is a type of obstructive shock?
Which condition is a type of obstructive shock?
What is the primary effect of cytokines released during an immediate reaction in transfusion reactions?
What is the primary effect of cytokines released during an immediate reaction in transfusion reactions?
Which of the following is a common result of obstructive shock?
Which of the following is a common result of obstructive shock?
What characterizes the irreversible or refractory stage of organ failure?
What characterizes the irreversible or refractory stage of organ failure?
What type of shock results from excessive vasodilation and impaired blood distribution?
What type of shock results from excessive vasodilation and impaired blood distribution?
In distributive shock, what happens to the blood volume?
In distributive shock, what happens to the blood volume?
What is the most common type of distributive shock?
What is the most common type of distributive shock?
What is the primary goal of drug therapy in shock treatment?
What is the primary goal of drug therapy in shock treatment?
What characterizes septic shock in patients?
What characterizes septic shock in patients?
What nursing responsibility is crucial during the refractory stage?
What nursing responsibility is crucial during the refractory stage?
Which of the following is a common manifestation of hypermetabolism in shock?
Which of the following is a common manifestation of hypermetabolism in shock?
What type of nutritional intervention is preferred for patients in shock?
What type of nutritional intervention is preferred for patients in shock?
What complication often arises from organ failures during the irreversible stage?
What complication often arises from organ failures during the irreversible stage?
What does the lack of response to treatment in refractory shock indicate?
What does the lack of response to treatment in refractory shock indicate?
What tool is commonly used for monitoring a patient's hemodynamic status in shock?
What tool is commonly used for monitoring a patient's hemodynamic status in shock?
Which intervention is crucial for the management of a patient experiencing shock?
Which intervention is crucial for the management of a patient experiencing shock?
Which of the following medication types is used specifically to improve tissue perfusion?
Which of the following medication types is used specifically to improve tissue perfusion?
What is the appropriate calorie requirement for enteral feedings in a patient with shock?
What is the appropriate calorie requirement for enteral feedings in a patient with shock?
Which of the following is NOT a part of diagnostic studies for shock?
Which of the following is NOT a part of diagnostic studies for shock?
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Study Notes
Critical Care Nursing
- Specialty focused on life-threatening responses and conditions as defined by AACN.
- Involves assessment, intervention initiation, and outcome evaluation.
Critical Care Units
- Known as Intensive Care Units (ICU) for acutely ill patients requiring specialized monitoring and support.
Progressive Care Units
- Also referred to as Intermediate Care or Step-down units, providing a transition from ICU to general care.
Nursing Responsibilities
- Ensure aseptic technique during care activities: suctioning, oral care, and patient positioning (elevating head of bed at least 30 degrees).
- Monitor for subtle changes to prevent complications like infections and Ventilator Associated Pneumonia (VAP).
Irreversible/Refractory Stage
- Identified by failure of 2-3 organs, leading to severe damage and risk of death.
- Treatment focus on comfort, family support, and safety.
Types of Shock
- Distributive Shock: Caused by excessive vasodilation and impaired blood flow. Subtypes include septic, neurogenic, and anaphylactic shock.
- Septic Shock: Characterized by hypotension despite fluid resuscitation, often linked to infection. Symptoms include respiratory compromise and arrhythmias.
- Anaphylactic Shock: Rapid allergic reaction often triggered by foods like peanuts; requires immediate intervention with IM epinephrine.
- Obstructive Shock: Involves physical blockages such as tension pneumothorax or pulmonary embolism hindering blood flow.
Management of Shock
- Fluid Resuscitation: Core treatment to expand blood volume with appropriate fluids; early intervention is crucial.
- Medication Administration: Sympathomimetics and vasodilators given IV for improving tissue perfusion.
- Assess for allergies and previous reactions in patients suspected of anaphylactic shock.
Diagnostic Studies
- No specific tests for shock exist; history and physical exams are vital. Key diagnostic studies include:
- 12-Lead ECG
- Continuous cardiac monitoring
- Chest X-ray (CXR)
- Continuous pulse oximetry
- Hemodynamic monitoring (CVP).
Nutritional Therapy
- Address protein-calorie malnutrition indicative of hypermetabolism; enteral feeding at 3000 calories/day is often necessary.
- Regular weight monitoring serves as an indicator of fluid status.
Nursing Interventions for Monitoring
- Ongoing assessment of physical and emotional health.
- Identifying trends in patient condition for timely intervention.
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