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CARDIAC/HEMODYNAMICS/SCI

Kate Fetter MSN, RN, EMT-P
Across
________ ____ manifest latently and involve organs not directly affected in the initial insult
________ ________ may be the direct consequence of an initial insult (primary multiple-organ dysfunction syndrome [MODS])
________ shock may mistakenly be referred to as spinal shock
According to the Surviving Sepsis Campaign Bundles, what is the first intervention that should be completed within 3 hours of time of presentation
An aortic balloon pump is used when ______ are not effective in cardiogenic shock.
Watch for ___ ______, elevated d-dimer, and fibrinogen in DIC
___________ _____ is fairly common after cardiopulmonary bypass. However, persistent temperature elevation to greater than 101° F (38.3° C) must be investigated.
When the pH decreases due to increased lactic acid levels you should treat with _______ _____ NOT Sodium Bicarbonate!
_____ ____ the only one where a client will actually have INCREASED cardiac output
Drug used for anaphylaxis to create vasoconstriction!!!! 0.3mg of 1:1000 Sub-Q
_______ ____ refers to loss of neurologic activity below the level of SCI
Down
_ _ _ results simultaneously in microvascular clotting and hemorrhage in organ systems, leading to thrombosis and fibrinolysis in life-threatening proportions. Clotting factor derangement leads to further inflammation and further thrombosis. Microvascular damage leads to further organ injury. Cell injury and damage to the endothelium activate the intrinsic or extrinsic coagulation pathways.
To ensure accurate readings, the difference between injectate temperature and body temperature must be at least 10° C, and the injectate must be delivered within _____ ______.
During inflation this provides a retrograde filling to the coronary arteries to feel the heart muscle blood first ____ ____ ____
Cardiac output (CO) is the product of heart rate (HR) multiplied by _____ _______
Assessment of the hemodynamic parameter of patients in cardiogenic shock reveals a decreased cardiac output and a decreased _______ ______
When a client has septic shock from _____ _____ it is imperative to find the source and eliminate it!!!
________ of the balloon just before the opening of the aortic valve creates a potential space or vacuum in the aorta, toward which blood flows unimpeded during ventricular ejection
When a client has an elevated lactate their pH becomes ________.
__________ shock can be caused by anything that disrupts the sympathetic nervous system