Exam 30: Shock, Sepsis and Anaphylaxis

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

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

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

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?

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

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?

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

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

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

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

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

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

A child admitted to the emergency department with a diagnosis of shock has a cardiac index is 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?

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

Which of the following microorganisms are currently the leading causes of childhood meningitis? I.Group B Streptococcus II.Streptococcus pneumoniae III.Methicillin-resistant Staphylococcus aureus IV.Neisseria meningitides

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.Hemoglobin II.Oxygen bound to hemoglobin III.Dissolved oxygen IV.Cardiac output

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

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

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?