Types of SHOCK
Exam 3 shock 5 7 questions clinical syndrome characterized by decrease in blood flow to the body’s organs and tissues resulting in inadequate oxygenation threatening cellular destruction decrease in co decrease in circulatory volume increased size of vascular bed from vasodilation early shock hard to detect slight rise in bp maybe tachycardia tachypnea normal
Urine output compensated shock bp is maintain asterisk map starts to drop normal is 7100 map tachypnea tachycardia vasoconstriction to skin abdominal muscles vasodilation to heart and skeletal increased force of heart contraction decompensated shock this is what we try to avoid asterisk body can’t maintain bp anymore hypotension lactic acidosis goes for aerobic
Rightwards arrow anaerobic tachycardia still acidosis and hyperkalemia refractory shock too late no treatment can reverse damage done generalized effects on the body system from shock cardiovascular upwards arrow hr downwards arrow bp rapid weak thready pulse dysrhythmias respiratory upwards arrow rr downward arrow number of working alveoli po2 levels drop paco2
Rise respiratory acidosis rightwards arrow gi decreased gastric motility rightwards arrow ilius risk for ulcers abnormal liver function hyperglycemia rightwards arrow hypoglycemia neuro change in loc disorientation restlessness asterisk types of shock cardiogenic shock heart unable to pump efficiently to provide the rest of the body with o2 and nutrients mi
Asterisk is the main cause then anything else really cardiac related manifestations decreased co hypotension tachycardia decreased loc jvd edema pulmonary crackles cyanosis oligomeria distant heart sounds oligomeria decreased map elevated cvp avoid causing fluid overload asterisk treat underlying cause diuretics and ivf antidysrhythmics cardiac glycosides o2
Dopamine dobutamine norepinephrine etc shock systemic inflammatory response syndrome asterisk usually caused by gram-negative bacteria infection is the number one cause monitor for dick asterisk manifestations tachycardia warm flushed skin fever alert chills cosmols hypotension tachycardia cool clammy oligomeria decreased loc tachypnea edema 2 tx for septic
Shock measure loctate level should be less than 2.0 get the culture before antibiotics administer antibiotic iv bolus of fluids nslr if iv bolus doesn’t work write words arrow mesopressors medications for perfusion loop diuretics furosemide bumatonite monitor for dehydration hyponatremia hypokalemia autotoxicity and hypoglycemia thiazide diuretic chlorothiazide
Monitor for dehydration hypokalemia hyperglycemia vesadylator nitroproside nitroglycerin monitor for hypertension sympathetic vasoconstrictor epinephrine norepinephrine phenylephrine monitor for htn and dysrhythmias reflex bradycardia w norepinephrine sympathomatics initropes dopamine d-o-b-u-t-a-m-i-n-e i-s-o-p-r-o-t-e-r-e-n-o-l monitor for tachycardia dysrhythmus china
Transcribed from video
Nursing Shock quick review By Nursing School is Hell
