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Exam 21: Drugs for Shock and Anaphylaxis

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Question 1

True/False

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Blood pressure is usually low with most types of shock.

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Question 2

Multiple Choice

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The nurse is preparing to administer IV fluids to her patient. The patient has been ordered a colloid fluid. Which fluid order should the nurse question?

A) Plasma protein fraction
B) Dextran 40
C) Plasmalyte
D) Albumin

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B

Question 3

Multiple Choice

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The physician is caring for a patient who is experiencing anaphylaxis. The family asks the physician why the patient is having difficulty breathing. The physician responds based on what knowledge?

List the 5 types of shock, their definitions and their underlying pathology.

It is always easier to prevent anaphylaxis than it is to treat it.

A patient has not responded to IV fluids to raise blood pressure. Which medication does the pharmacist anticipate will be ordered?

The physician is caring for a patient who is experiencing cardiogenic shock after an MI. What is the rate of mortality for this patient?

The nurse is administering IV fluid to a patient. Which fluid will require the nurse to monitor electrolyte values?

A patient has been given an IM dose of an antibiotic at an outpatient clinic. How long will the physician observe this patient after medication administration?

Fluid replacement drugs are sometimes referred to as fluid expanders.

Failure of the heart to pump sufficient blood to tissues is referred to as this type of shock:

A patient presents with anaphylaxis. What treatment options are likely to be administered to this patient? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The pharmacist is caring for a patient who is experiencing shock. Which fluid replacement agents does the pharmacist anticipate will be used when providing care? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

List the typical drugs used to treat anaphylaxis and why they are used.

Symptoms of shock along with obvious trauma or bleeding would suggest cardiogenic shock.

Inotropic drugs are administered during shock to maintain blood pressure and vasoconstrictors are useful in reversing the decreased cardiac output that occurs during shock.

The nurse is preparing to administer dopamine for a patient who is experiencing cardiogenic and hypovolemic shock. Which effects does the nurse anticipate will occur? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Loss of blood volume is referred to as this type of shock:

Acute shock is treated as a medical emergency, and the first goal is to replacement fluids.

If the patient is entering hypovolemic shock, the pharmacist anticipates which item to be a priority?