Reflection Questions
1
.
Tissue perfusion and organ perfusion depend on mean arterial pressure (MAP), or the average pressure at which blood moves through the vasculature. Why must the MAP exceed 65 mmHg?
2
.
Shock progresses along a continuum and can be identified by stages. Why is it critical the nurse complete a thorough assessment and monitor the patient’s signs and symptoms?
3
.
When administering multiple units of blood to a patient in hypovolemic shock caused by hemorrhagic bleeding from a bleeding gastric ulcer, what actions should the nurse take?
4
.
How can nurses evaluate the efficacy of care for patients with neurogenic shock?
5
.
Spinal cord injury is the number one cause of neurogenic shock. Data supports the benefits of fall prevention education for older adults. How might you incorporate fall prevention teaching into the care you provide for older patients?
6
.
The nurse is assessing a patient who sustained a spinal cord injury to thoracic vertebrae 5. The patient’s vital signs are currently blood pressure 78/50 mmHg, heart rate 56 and regular, respiratory rate of 11 breaths per minute, and oral temperature of 36.8°C.
Which medication should the nurse plan to administer first, and why?
7
.
After volume resuscitation, what medication should the nurse plan to administer next to achieve hemodynamic stabilization?