Learning Objective Describe Question & Answer Guide (With Explanation)
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What This Question Is About
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How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
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Original Question
Learning Objective #1: Describe shock, its underlying pathophysiology, stages, and medical management and nursing management for each stage. What is the definition of shock? What are the three characteristics of all types of shock? Describe the patho of each one. What changes occur in the initial stage of shock? Compare clinical findings of the compensatory, progressive, and irreversible stages of shock and provide a rationale for these changes. What clinical findings are different in the three types of distributive shock and why? What are the key medical treatments in the compensatory phase of all types of shock? What are the nursing assessments in the compensatory phase to facilitate early identification of deterioration? In the progressive stage, what are the expected cardiac, vascular, respiratory, hematologic, renal, hepatic, GI, and neurologic findings and the patho of each? In the progressive stage, what are the medical and nursing management goals and interventions with rationales for each? Include respiratory, cardiovascular, nutritional, and glucose management. In the progressive stage, what complications can occur and what are the nursing assessments/interventions for them? Identify vasoactive medications used in treating shock and describe nursing implications associated with their use. Describe the irreversible/refractory stage and MODS. What are the primary nursing interventions at this point in the patient’s condition?
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