NURSING 2P03 Lecture Notes - Lecture 1: Disseminated Intravascular Coagulation, Vascular Resistance, Hypovolemia
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Inadequate tissue perfusion: hypovolemia, neurogenic trauma, anaphylaxis, sepsis, and cardiac pump dysfunction. Anaphylactic shock: acute allergic reaction to be stings, drugs, foods, have headache, light-headedness, flushed, itch, anxious, treatment, establish and maintain airway, may require bronchodilators or epinephrine with wheezing, nebulizer treatments. Intravenous fluid bolus with crystalloids: epinephrine to increase systemic vascular resistance, histamine blockers and steroids. Intubation to increase o2 consumption rate: central venous lines imperative to monitor central venous pressure, vasopressors used with hypotension, human activated protein c, inhibits thrombosis and inflammation and regulate coagulation to decrease sirs. Identify underlying cause: maintain airway, administer vasopressors, vasodilators, diuretics, and analgesics to improve cardiac output and decrease o2 demand, surgical intervention may be required. qsofa. Identify patients with suspects infection who are at risk for poor outcome outside of. Icu: 3 criteria, low bp (sbp less than 100mmhg), high respiratory rate (greater than 22 breaths per minute), altered mentation (glasgow coma scale less than 15), score ranges for 0-3 points.