02.17 Septic Shock

Watch More! Unlock the full videos with a FREE trial

Start Free Trial
Add to Study plan
Master
Previous lesson
Next lesson

Included In This Lesson

Study Tools

Shock (Cheat Sheet)

Access More! View the full outline and transcript with a FREE trial

Start Free Trial

Outline

Nursing Points

General

  1. Septic Shock
    1. Caused by bacteria (usually gram -)
    2. At-risk
      1. Elders
      2. Severe burn
      3. Alcohol and drug abusers
      4. Surgery
      5. Immunosuppressed
      6. Long hospitalizations
    3. Patho
      1. Bacteria releases endotoxin -> many harmful substances released causes vasodilation (pool blood in capillary bed)
    4. First stage
      1. Confusion (due to endotoxin)
      2. Increased cardiac output (due to endotoxin)
      3. Increased RR (due to endotoxin)
      4. ABGs normal limits
      5. Normal BP
      6. Increased urine output (vasodilation)
    1. Second stage
      1. Endotoxins phase away (30 min.- 72 hrs)
      2. Low BP (blood pooled in capillaries)
      3. Lethargic (lack of blood to brain = lack of oxygen)
      4. Decreased urinary output
      5. ABGs bad
      6. Decreased cardiac output (no endotoxins)
      7. Metabolic acidosis
    2. Organ failure
    3. Treatment
      1. Fluids
      2. Antibiotics
      3. Vasopressors (Levophed) -> causes vessels to constrict
      4. Goal -> MAP 65
View the FULL Outline

When you start a FREE trial you gain access to the full outline as well as:

  • SIMCLEX (NCLEX Simulator)
  • 6,500+ Practice NCLEX Questions
  • 2,000+ HD Videos
  • 300+ Nursing Cheatsheets
Start Free Trial

“Would suggest to all nursing students . . . Guaranteed to ease the stress!”

~Jordan

CCRN Review (Critical Care Certification Review)

This course is a review for the CCRN exam. Experienced critical care nurses that meet the testing criteria can use this course to review key concepts for their CCRN exam, which is a certification for critical care nurses. Criteria to test includes having 1,750 hours in direct bedside care of acutely and/or critically ill patients during the last 2 years (prior to the exam). 875 hours need to be worked in the year prior to your application.

1- CCRN Test Overview & Introduction

    2- Cardiovascular

                                        3- Endocrine

                                            • 9 Questions

                                                4- Hematology

                                                    5- Gastrointestinal

                                                              6- Multisystem

                                                                        7- Neurological

                                                                                            8- Psychological

                                                                                              9- Renal

                                                                                                          10- Pulmonary