Premium Essay

Shock Prep

In:

Submitted By rutgor
Words 602
Pages 3
David A Daves
SIM PREP……..
02/22/13

Preparation Questions
Differentiate the following terms:
Systemic Inflammatory Response Syndrome (SIRS):
Is aggressive widespread inflammatory response to infection (sepsis) or perceived invader. Also, ischemia, infarction and injury.

Sepsis:
Is a systemic inflammatory response in the presence of a documented infection.

Severe sepsis:
Is sepsis complicated by organ dysfunction, is diagnosed in more than 750,000 patients per year and has mortality rates as high as 28%-50%.

Septic shock:
Is the presence of sepsis with hypotension despite fluid resuscitation along with the presence of inadequate tissue perfusion.

Multiple organ dysfunction syndrome (MODS):
Is the failure of two or more organ systems in an acutely ill patient such that homeostasis cannot be maintained without intervention.

Identify the nursing priorities in the care of the patient with sepsis and septic shock:
Oxygenation -Provide supplemental O2 Intubation/mechanical ventilation, if necessary Monitor SvO2 or ScvO2
Circulation- Aggressive fluid resuscitation End points of fluid resuscitation: CVP 15 mm Hg Pawp 10-12 mm Hg
Drug Therapies- Antibiotics as ordered Vasopressors (dopamine) Inotropes (dobutamine) Anticoagulants (low molecular –weight heparin) Drotrecogin alfa (xigris) for patients with high risk death
Supportive Therapies- Obtain cultures (blood, wound ) before beginning antibiotics Monitor temperature Control blood glucose Stress ulcer prophylaxis

What class of bacteria is responsible for more than one half of the cases of septic shock? What are some common causes of this?
The main organisms that cause sepsis are gram- negative and gram- positive bacteria. Parasites, fungi, and viruses can also lead to the development of sepsis and septic shock.

Explain why myocardial depression is almost

Similar Documents

Premium Essay

Shock Advertising

...dictionary, n.d.). Shock advertising is a marketing strategy that deliberately, rather than unintentionally, startles and offends its audience by violating norms for social values and personal ideals (Wikipedia, 2011). The Free Dictionary continues to state that the shock advertising technique is ideally intended to push boundaries and separate itself from the norm in hopes of attracting an audience and to provoke conversation. As its name states, shock advertising is usually presented in a controversial, bold, and offensive manner. Advertisers are hoping to revolutionize how one views the status quo for the sole purpose of selling a product. Further, shock advertising is created by the use of the images or words that are communicated. Shock advertising may disregard societal manners through nudity or by creating a sense of fear through brutal violence or because the product itself is deemed inappropriate (The free dictionary, n.d.). For example, the clothing brand FCUK’s creative arrangement of letters is unmistakably provocative (B&T, 2004). Shock advertising is not only controversial because of how its message is presented, but also whether it is effective (Wikipedia, 2011). Shock is a successful means of advertising because it creates an emotional persuasion, which ultimately leads to action from the consumer (Huntington, 2009). Thus, shock is useful because it generates action from an emotional reaction, not due to the outrageous images and headlines. Shock advertising is...

Words: 517 - Pages: 3

Free Essay

Image Analysis Essay

...Shocking but Effective: Techniques Used by Awareness Campaigns Images are everywhere in the media. We see commercials, billboards, magazine advertisements and more every day. Eventually, people stop paying attention to what the ads are saying and what they are selling or promoting. Commercials start to mush together in unimportance as we wait for our TV shows to return. Billboards blur into each other as we see the same messages portrayed over and over. This challenges advertising companies to come up with catchier slogans, more comical commercials or images, anything to get people to snap out of it and pay attention to what they have to say. This particular image is an underwater advertisement seen clearly through the water. It is an advertisement for the Watch Around Water campaign in Australia promoting the supervision of children at public pools. The background is blue in order to blend in with the water and to look like water as well. There is a white boy wearing swim trunks face-down on top of the blue, sprawled across the advertisement. It is apparent that he is a drowned child. On the bottom of the image, partially covered by the dead child’s foot are the words “Where’s Your Child?” Under this is the logo for the Watch Around Water campaign. The ad makes it personally when it asks “Where’s Your Child?” It further insinuates the question of “Are you watching them?” and makes the viewer feel responsible, as they should, for their child’s whereabouts. The purpose...

Words: 1077 - Pages: 5

Premium Essay

Failure to Escape Traumatic Shock

...Failure to Escape Traumatic Shock by Seligman and Maier The purpose of this study was to determine the type of learning acquisition in dogs that were subjected to three different styles of electric shock. They wanted to determine what method of learning worked the best to avoid a shock for an extended period of time. Each of the three groups of dogs learned escape/avoidance training, however the "escape" group and the "yoked" group gained more training than the normal control group. The "escape" group was taught during their training that touching the side panels during the shock would terminate it. This was repeated 64 times in the harness and the same training was done 10 more times in the shuttle box, 24 hours later. The "yoked" group received the same training as the "escape" group, however the "escape" group could touch the side panels to end the shock while the "yoked" group was taught the same thing, but touching the panels did not end the shock. In Experiment 1 the "yoked" group might have experienced a concept called learned helplessness. The researchers in this version of the experiment proceed to think that because the "yoked" group couldn't get out of the shocks by touching the side panels, that the group just accepted the fact that the shocks will take place and that they can't do anything about it. In Experiment 2, the experiment was designed to see if the dogs from experiment 1 would react the same to an inescapable shock as they did in experiment 1...

Words: 660 - Pages: 3

Premium Essay

Perils of Obedience

...behavior tendency that it is. He then sets up an experiment at Yale University that will push the limits of human obedience. He has a “teacher” give out a series of simple word pairs for the “learner”. If the learner gets a word pair wrong then the teacher gives out a series of shock ranging from 15 to 450 volts. The teacher who is the real subject in the experiment does not know that the learner is a paid actor who does not receive any actual shocks. The motivation behind this experiment for Milgram was to test just how far people would go to obey the command of an authority figure. Milgram’s theory is that the subject will have total control of what they are doing and will disobey the authority figure when inflicting pain onto a hopeless human being. One of his subjects, Gretchen Brandt, is participating with the experiment when the learner got the word pair wrong she showed the self control to stop shocking to not continue. Milgram thought that this is how the majority of subjects would react, “Her behavior is the very embodiment of what I envisioned would be true for almost all subject”(Milgram, 44). Brandt simply wasn’t worried about rejecting the authority if it meant that she no longer would have to shock the subject again. The next subject that Milgram includes in his essay is an ordinary unemployed man named Fred Prozi. Prozi continues with the experiment as told until her got up to 195 volts, at this point the learner was no longer answering the questions. Prozi sees the...

Words: 682 - Pages: 3

Premium Essay

Thermodynamics: What Are Signs Of Shock?

...Signs of Shock As a veterinary technician, it’s important to be able to recognize when a patient enters the animal hospital in distress. Prompt action following the hospital’s procedures can save a pet’s life. Shock is a medical term meaning a loss of circulation. If a pet is in shock, their blood pressure is very low. This can be critical if the pet’s vital organs and brain is not getting enough blood flow. There are many reasons why a pet may go into shock. Often it is due to a trauma to the body and or loss of blood. A pet that has been hit by a car can present to the hospital in shock, or a dog fight. Severe allergic reactions, heart failure, or excessive vomiting and diarrhea...

Words: 817 - Pages: 4

Free Essay

Culture Shock

...symptoms mostly were the feeling of loneliness and sadness. I also slept a lot. I felt like I just wanted to go deeper and deeper in my sleep and dream about my sweet home. I refused to go out and talk to native people. All I did was sitting in front of my laptop and watched Vietnamese movies or read Vietnamese magazines. It was all for the purpose of killing time and forgetting the emptiness in my heart. There are a lot of different theories about the phases of culture shock. The differences mostly depend on each individual’s personality. The most common theory is identified by Kalvero Oberg. He discovered the five distinct stages of culture shock in 1958, the five stages of culture shock. The first stage is called “honeymoon stage”. When entering to a new country, you may feel excited and eager to experiences new things. You’re in awe of the differences you see. Just looking at everything in the new place reminds you of sweet home during this stage. Desi Downey, an author of the article Culture Shock: It's the Little Things That Count in the Biggest Ways, lived in China for six years, and taught English there for much of that time. She narrated her own story when she first moved to China since her husband was offered a chance to work there. Before she ever left...

Words: 2093 - Pages: 9

Free Essay

23232

...The Irony of Louise Mallard’s Widowhood In “The Story of an Hour” by Kate Chopin, the author disturbs the reader through the character of Mrs. Mallard. Mrs. Louise Mallard is a coldhearted woman who is happy at the news of widowhood, unbeknownst to her family and friends. Mrs. Mallard’s train of thought throughout the story is unexpected and shocks the reader at every turn, but teaches the reader a few things about relationships in the process. Situational and dramatic irony are created through the interpretation of Mrs. Mallard’s reaction to her husband’s death and through her own untimely death. Two different events in this story shock the reader through situational irony. Situational irony occurs when the reader’s expectations of the story are met with an unexpected occurrence, something that the reader wouldn’t have guessed would happen. The first incident takes place shortly after the main character, Louise, is told that her husband has died in a railroad accident. Her immediate reaction is predictable; she clings to her sister and sobs because her husband is dead. When a person loses a loved one that person goes through a mourning period to grieve for the loss and to cope with the death. What the reader is unprepared for, however, is not this display of emotion directly after the news of the accident. Rather than devastated by his death, Louise is overjoyed. Rather than absorbing the news as some women, “with paralyzed inability to accept its significance”...

Words: 1798 - Pages: 8

Free Essay

Patho Hf Case Study

...Stable Angina Case 2 Questions: C.C. is a previously healthy 27-year-old man admitted to the critical care unit after an accident in which he was hit by a car and dragged along the pavement for nearly 100 feet. He suffered a frontal contusion, fractured clavicle and ribs, and extensive abrasions on his arms, legs, side, back, and buttocks. He was tachycardic, hypotensive, unresponsive, and ventilating poorly when admitted. He was placed on a mechanical ventilator and given IV fluids for shock. C.C. responded well to fluids, with an increase in blood pressure and an improvement in urine output. 1. Based on his case history and responsiveness to fluid therapy, what type of shock was C.C. experiencing? Hypovolemic Shock 2. What other clinical findings would be helpful in confirming the type of shock? Low blood pressure, weak pulse, cyanosis of the lips and fingertips, shallow breathing 3. Because of his many open wounds and invasive lines, C.C. is at risk for sepsis and septic shock. What clinical findings would suggest that this complication has developed? Chills, light-headedness, little or no urine, palpitations, skin rash or...

Words: 289 - Pages: 2

Premium Essay

Phase 1 Individual Project

...Phase 1 Individual Project International Business Communications Professor Randi Plante Colorado Technical University Online Octavia Briggs 16 April 2014 Opening a fast food restaurant anywhere can be challenging but going to another country to open a burger joint will take a lot of research and training of the right people. Language barrios will need to be gapped and food studies put into place. I am going to be writing about opening a fast food hamburger restaurant in China, Israel, United Arab Emirates and Mexico. Every country has differing foods and tastes thus it will be beneficial to do a lot of studying before anything else. Israeli food is very flavorful and all ingredients are at its best. This is true whether it be the foods from the streets or a fast food restaurant. Israeli people's sense of taste differs greatly from those in the United States; they are "Toffee Nosed" when it involves food. You would have to have a very tasty burger to make it in Israel and probably have to cook it on a charcoal grill rather the electric or gas before they will eat it. "The kosher social seal is awarded to eateries that pledge to treat those preparing and serving the food in an ethical way. This means paying overtime, providing health insurance, and ensuring the equal treatment of minorities – the list goes on." (Harman, D. 2008) In china, the elders are fed first; always wait until the host has finished their offer of words of greeting to start eating...

Words: 1332 - Pages: 6

Free Essay

Dsfdsfdsa

...Emergencies An emergency situation occurs when a person suddenly becomes ill or is injured and requires an immediate medical response. Emergencies can happen at any time. For example, imagine two friends at an amusement park, talking and laughing while waiting in line to ride a rollercoaster. One friend tells the other that she does not feel well. She looks pale. Suddenly, she falls to the ground. If her friend knows what to do, she may be able to prevent further harm to her friend, or even save her life. First Aid In many cases, emergency care may require some form of first aid. In a best-case scenario, emergency care is performed by an emergency care professional. However, in some cases, emergency care procedures are required before a professional can arrive on the scene. For this reason, it is important that the general population and, more importantly, all health care workers know how to perform emergency care. Agencies such as the American Red Cross and the American Heart Association train people to perform these life-saving procedures. Top of Form Question # 1 An emergency situation occurs when a person suddenly becomes ill or is injured and requires an immediate medical response. • [pic]True • [pic]False [pic] Correct Answer. Bottom of Form Top of Form [pic][pic] [pic][pic][pic] Question # 2 In a best-case scenario, emergency care is performed by whom? • [pic]An emergency care professional • [pic]The general population • [pic]A...

Words: 17178 - Pages: 69

Free Essay

Septic Shock

...According to Urden, Stacy, and Lough (2006), shock is a life-threatening condition that can lead to ineffective tissue perfusion or may further progress to multiple organ dysfunction and death. The different types of shock include hypovolemic shock, cardiogenic shock, anaphylactic shock, neurogenic shock, and septic shock (Urden, Stacy, & Lough, 2006). This essay will analyze septic shock based on the analysis of a presented case study. To further understand this concept, a review of treatment and management of septic shock as used in the writer’s practice setting will be discussed. The writer chooses the “case study one” as an issue of septic shock because Karen’s vital signs, physiological and behavioral symptoms are clear indicators of septic shock. Septic shock is described as the body’s inflammatory response to overwhelming infection (Urden, Stacy & Lough 2006). It is also classified as existence of an infection with hypotension despite fluid replacement along with the presence of tissue perfusion abnormalities (Urden, Stacy & Lough 2006). According to Bench (2004), the diagnostic criteria for septic shock include a heart rate greater than 90 beats per minute, a respiratory rate greater than 20 beats per minutes, an increased white cell count, hypotension, and temperature greater than 38 degrees or less than 36 degrees. Karen met these criteria with an increased temperature of 41 degrees which is usually an indicator of infection, increased heart rate and respiratory...

Words: 1113 - Pages: 5

Free Essay

Red from Green

...RED FROM GREEN The Short story Red from Green by Maile Meloy is about a fifteen year old girl named Sam Turner, who is on a four-day float trip with her father, her uncle and the uncle’s client, Layton, from his new law firm. At this trip Sam develops and discovers new things in the process of becoming an adult and to overcome the stage from being just a child. The short story takes place in Montana, where the Turner family lives. The plot takes place at a river and the surrounding areas, where they stay for the night. “It is July, and hot, and the water was low” (p. 8, l. 2). The setting does on a symbolic level indicate the untamed nature, and the wild sides in the human. The floating river symbolizes how the actions in the plot just float, and they get grabbed by the atmosphere. It takes place in the summer, and Sam, who is the main character, stands in front of a very important decision. Her father had entered her to a boarding school for Sam’s sophomore year, and she got a scholarship offer. The mention of the topic makes them both feel uncomfortable. “… but neither of them could bring themselves to talk about it” (p. 8, l. 8-9) The father is a very caring parent. Sam’s mother is dead, which implies that the father had dismayed about it. Maybe it is because he feels he is going to lose her, or probably miss the chance of seeing her grow up to be an adult. He had openly applied because everyone thought it was a great idea because the fact is that it was a better opportunity...

Words: 863 - Pages: 4

Free Essay

Milgram

...the persons own personality or characteristics. However, Milgram set out to question this dispositional attribution of the Germans. He believed that the situation had led to the inhumane behaviour of the Nazis and therefore that anybody in the same situation as those committing such atrocities would have done the same in the same circumstances. Milgram argued that people would commit atrocities if required to do so by an authority figure. This argument is an example of a situational attribution as it is arguing that the behaviour resulted from the situation a person was in.  Aim: The aim of the experiment was to investigate what level of obedience would be shown when participants were told by an authority figure to administer electric shocks to...

Words: 963 - Pages: 4

Free Essay

Seligman

...different types of electric shock. They wanted to know which method worked best so that they didnt have to shock the dogs for a long period of time. the population being studied was three goups of dogs seperated to evalutae the behaviors dealt with the different types of shock. They picked this group because they were naive and mongrel dogs, pretty much these dogs werent trained to do anytihing they were freshly picked to conduct as they pleased. This research was conducted in two experiments. each of the three groups of dogs learned escape/avoidance training.Th escaped group and the yoked group gained more raining than the normal control group.The escape group was taught that touching the side panels during the shock would terinate it.this was repeated 64 more times innthe hardness and 10 more time in the shutter bx. the yoked group was trained the same way except the fact that even though touching the side panels terminated the shock for the escape group it was not terminated for the yoked group.in this forst experiment the yoked group learned the concept called learned helplessness. the researchers explaned that since the yoked group could not terminate the shock by touching the side panels they just accepted the fact that it would happen and they could not do anything about it. In the second experiment the researchers designed it to see how the dogs from experiment one would react to an inescapable shock as they did in the first experiment...

Words: 393 - Pages: 2

Premium Essay

Shock in Literature

...Shock in plays Both Tennessee Williams and Mark Ravenhill set out to surprise and shock their audience In my opinion, shock is a very effective way of conveying a message, as it is an emotional reaction that stays with the audience for a long time, meaning that they remember the scenes until they can consider the significance. As well as this, it is far easier to make people realise something about the society they see as normal if it is possible to put them in a situation where they see actions that are considered ordinary and find themselves shocked by these. For example, the situation of a group of teenagers engaging in casual drug use and self destructive behaviour could be seen as relatively normal and stereotypical today, but when this is explored in depth, the levels of this behaviour become very shocking and make the audience consider whether the stereotypes placed on teenagers – that they will have problems but that these problems will eventually pass, have made them behave in a way that is very unsafe. I think that Ravenhill uses shock value to a far higher extent than Williams, although this may be because his play is far more ‘in-yer-face’ than ‘Streetcar’ and has a faster pace. As well as this, the way in which the play is written makes it difficult for the audience to get lost in the story and ignore the issues explored by the playwright. However, I do think that both plays make the audience question aspects of society, especially the audiences that viewed...

Words: 274 - Pages: 2