Identify type of shock associated with hemodynamic changes

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Reference no: EM133988255

Assignment:

Identify the type of shock associated with the following hemodynamic changes:

a) Bradycardia, decreased SVR, decreased SvO2

b) Tachycardia, decreased SVR, increased SvO2

c) Decreased RAP, PAP and PAOP; increased SVR, decreased SvO2

Consider factors in the critically ill patient that increase susceptibility to the development of sepsis and septic shock. Describe how these can be prevented.

The nurse is taking care of a 58 year old male patient who was readmitted to the unit after a myocardial infarction (MI) because of recurrent chest pain, shortness of breath and the need for intravenous nitroglycerin.

a) Prioritize your actions at this time

b) What assessment findings regarding MI would concern you?

c) What pertinent information from the patient's history would you want to obtain?

d) What diagnostic tests do you anticipate?

The nurse is caring for a 63 year old woman who has just returned to the cardiac care unit after PTCA and stent placement to the right coronary artery. Her proximal right coronary artery had a 90% occlusive lesion. She has her arterial sheath in place to the right femoral artery. She is receiving intravenous nitroglycerin and eptifbatide (Integrilin).

a) What type of dysrhythmias would you anticipate if her right coronary artery were to reocclude?

b) Prioritize your actions on her arrival.

c) What type of assessment would you perform regarding the sheath?

Many patients now come into the hospital on the dame day that cardiac surgery is performed. Discuss methods for teaching patients effectively given this situation.

A patient has been hospitalized three times in the past 2 months for chronic heart failure. What teaching and interventions can you implement to prevent rehospitalization after discharge?

Reference no: EM133988255

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