Nursing

Cardiogenic take aback Oxygenation: . furnish secondary group O (e.g., nasal cannula, non-rebreather mask) .Intubation/ mechanised ventilation, if needful . monitor lizard SvO2 or ScvO2 Circulation: .Restore parenthood f offset with thrombolytic, angioplasty with stenting, rising coronary revascularization .Reduce workload of heart with circulatory assist devices: IABP, VAD medicine therapies: . Nitrates (e.g., nitroglycerin) .Inotropes (e.g., dobutamine) .Diuretics (e.g, furosemide) .B Adrenergic blockers (contraindicated with low ejection fraction) Supportive Therapies: .Correct dysrhythmias Hypovelemic Shock Oxygenation: .Provide subsidiary oxygen .Monitor SvO2 or ScvO2 Circulation: .Restore silver great deal (e.g., parenthood/ blood products, crystalloids) .Rapid bland replacement using ii large-bore (14-16 gauges) peripheral device IV lines .End points of fluid resuscitation -CVP 15 mmHg -PAWP 10-12 mmHg Supportive Therapies: .Co rrect the face (e.g., determine bleeding, GI losses) .Use warmed fluids Septic Shock Oxygenation: . Provide subsidiary oxygen (e.g., nasal cannula, non-rebreather mask) .Intubation/ mechanical ventilation, if necessary .Monitor SvO2 or ScvO2 Circulation: .Aggressive fluid resuscitation .

End points of fluid resuscitation -CVP 15 mmHg -PAWP 10-12 mmHg Drug therapies: .Antibiotics as ordered . Vasopressors (e.g., dopamine) .Inotropes( e.g., dobutamine) .Anticoagulation (e.g., low-molecular-weight heparin) Supportive Therapies: . cause cultures (e.g., blood wound) before beginning antibiotics . Mon itor temperature . Control blood glucose .! Stress ulcer prophylaxis (e.g., H2-receptor blockers) Neurogenic Shock Oxygenation: . Maintain patent airway . Provide supplemental oxygen .Intubation/ mechanical ventilation, if necessary .Cautions administration of fluids Drug Therapies: .Vasopressors (e.g., phenylephrine) .Atropine (for bradycardia) Supportive Therapies: .Minimize spinal anesthesia cord trauma with...If you want to pay back a full essay, order it on our website: OrderCustomPaper.com

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