Exam 30: Shock

A therapist is calculating oxygen delivery for a patient admitted with a diagnosis of shock. Which of the following parameters should the therapist measure? I. O₂ content II. PaCO₂ III. RBC level IV. Cardiac output

Which of the following types of shock is the most common among children?

Which of the following hemodynamic assessments can be obtained from a pulmonary capillary wedge pressure measurement?

Which vascular site would provide the most reliable measurement of the beat-to-beat monitoring of the blood pressure in an infant who is suspected of having shock?

When cardioversion is indicated, at what point during the cardiac cycle must it be applied?

During the treatment of sepsis, what intervention may be needed if hypotension persists despite the maximal application of inotropic and vasomotor support?

In which of the following clinical situations may the administration of packed red blood cells be indicated?

A respiratory therapist has intubated a child with septic shock who has also received intravenous fluids and vasopressors. What condition could explain a lack of response to therapy?

Assessment of an infant suspected of having shock reveals skin that is warm, pink, and well perfused. How should the therapist interpret these findings?

A respiratory therapist is gathering equipment to intubate a patient with anaphylactic shock who has severe bronchospasm. What is one of the most prominent inflammatory mediators responsible for the increase in airway resistance and fall in the PaO₂?

A child is receiving aggressive therapy for septic shock. Which of the following inotropes is the most frequently used under these circumstances?

Which of the following signs is one of the first to indicate decreased peripheral perfusion in children?

A 7-year-old patient with dehydration is evaluated in the emergency department. What type of shock is most commonly associated with diabetic ketoacidosis?

How should the therapist interpret a capillary refill time of approximately 1 second in a pediatric patient?

A child admitted to the emergency department with a diagnosis of shock has a cardiac index of 3.5 L/min/m². How should the therapist interpret this value?

Which of the following can be obtained from a central venous pressure measurement?

A child has been treated for shock with 60 mL/kg of normal saline. What should be considered at this time?

What is the mainstay of therapy for patients with anaphylactic shock?

Which of the following microorganisms are likely responsible for neonatal meningitis? I. Group B Streptococcus II. Neisseria meningitidis III. Escherichia coli IV. Listeria monocytogenes

A measure of the resistance or force against which the heart must pump defines which of the following terms?