Deck 21: Drugs for Shock and Anaphylaxis

Question 1

Failure of the heart to pump sufficient blood to tissues is referred to as this type of shock:

A) Anaphylactic
B) Septic
C) Cardiogenic
D) Neurogenic
E) Hypovolemic

Answer 1

Cardiogenic

Question 2

Loss of blood volume is referred to as this type of shock:

A) Anaphylactic
B) Septic
C) Cardiogenic
D) Neurogenic
E) Hypovolemic

Answer 2

Neurogenic

Question 3

The physician is caring for a patient who is experiencing cardiogenic shock after an MI. What is the rate of mortality for this patient?

A) 50-60 percent
B) 70-80 percent
C) 40-50 percent
D) 20-30 percent

Answer 3

70-80 percent

Question 4

If the patient is entering hypovolemic shock, the pharmacist anticipates which item to be a priority?

A) Maintenance of the patient's airway
B) Administration of norepinephrine
C) Administration of sodium bicarbonate
D) Maintenance of volume

Question 5

The physician is caring for a patient who is experiencing anaphylaxis. The family asks the physician why the patient is having difficulty breathing. The physician responds based on what knowledge?

A) Reflex tachycardia
B) Compensation for a rapid fall in blood pressure
C) The body's response to histamine
D) Bronchoconstriction in response to the allergen

Question 6

The pharmacist is caring for a patient who is experiencing shock. Which fluid replacement agents does the pharmacist anticipate will be used when providing care? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Crystalloids
B) Colloids
C) Water
D) Blood products
E) Oral hydration products

Question 7

The nurse is administering IV fluid to a patient. Which fluid will require the nurse to monitor electrolyte values?

A) Antibiotics
B) Crystalloids
C) Colloids
D) Blood products

Question 8

A patient has not responded to IV fluids to raise blood pressure. Which medication does the pharmacist anticipate will be ordered?

A) Whole blood
B) Additional crystalloids
C) Vasodilators
D) Vasopressors

Question 9

The nurse is preparing to administer dopamine for a patient who is experiencing cardiogenic and hypovolemic shock. Which effects does the nurse anticipate will occur? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Effects depend on the dose.
B) An increase of renal blood flow
C) An increase of cardiac output
D) Hypotension
E) Decreased urine output

Question 10

A patient has been given an IM dose of an antibiotic at an outpatient clinic. How long will the physician observe this patient after medication administration?

A) 30-120 minutes.
B) 20-60 minutes.
C) 15-20 minutes.
D) 5 minutes.

Question 11

A patient presents with anaphylaxis. What treatment options are likely to be administered to this patient? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Oxygen
B) Salbutamol
C) Aspirin
D) Diphenhydramine
E) Acetaminophen

Question 12

The nurse is preparing to administer IV fluids to her patient. The patient has been ordered a colloid fluid. Which fluid order should the nurse question?

A) Plasma protein fraction
B) Dextran 40
C) Plasmalyte
D) Albumin

Question 13

Symptoms of shock along with obvious trauma or bleeding would suggest cardiogenic shock.

Question 14

Blood pressure is usually low with most types of shock.

Question 15

Acute shock is treated as a medical emergency, and the first goal is to replacement fluids.

Question 16

Fluid replacement drugs are sometimes referred to as fluid expanders.

Question 17

Inotropic drugs are administered during shock to maintain blood pressure and vasoconstrictors are useful in reversing the decreased cardiac output that occurs during shock.

Question 18

It is always easier to prevent anaphylaxis than it is to treat it.

Question 19

List the typical drugs used to treat anaphylaxis and why they are used.

Question 20

List the three common inotropic drugs and why they are used.

Question 21

List the 5 types of shock, their definitions and their underlying pathology.