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BCEN EXAM Q&A Latest Update

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CPEN

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CPEN

BCEN EXAM Q&A Latest Update

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BCEN EXAM Q&A Latest Update BCEN EXAM Q&A Latest Update

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Uploaded on: May 8, 2025
Last updated: May 8, 2025
Number of pages: 80
Written in: 2025/2026
Type: Exam (elaborations)
Contains: Questions & Answers
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BCEN | Q&A Latest 2025/2026 | 100% PASS Shock - Answer -impaired tissue perfusion secondary to circulatory failure Compensated Shock - Answer -Sympathetic nervous system (release of epi and norepi- vasoconstriction), RAAS activation (inc serum NA and fluid), ADH (renal NA and H2O absorption) and intracellular fluid shift (inc vasc volume) Uncompensated Shock - Answer -edema/third spacing, respiratory decline (crackles and dyspnea secondary to pulmonary edema), cardiac decline (inadequate venous return and dysrhythmias), hypo perfusion to non-vital tissues, hypo perfusion to myocardium and brain Hypovolemic Shock - Answer -Traumatic/nontraumatic hemorrhage, fluid shift, non-blood fluid losses, urinary fluid losses Fluid Volume Intervention - Answer -crystalloid bolus: NSS is most common-- 1-2L for adults; 20ml/kg peds Blood- typically PRBCs (no clotting factors here- just good for volume and O2) Massive transfusion: 1:1:1 PRBCs, platelets, and plasma D5W NOT USED- metabolized too quickly and does not contribute to volume expansion