Type of Shock Risk
Myocardial Infarction
What is a risk factor for Cardiogenic Shock?
Lab values found in hypovolemic shock
What are increased Lactic acid, decreased PaO2, Increased PaCO2, Decreased H&H?
Three factors: blood volume, cardiac output, vascular bed size
What are the factors that influence MAP?
Epinephrine administration
What is the priority intervention for anaphylactic reaction/shock?
Anaphylaxis
What is a risk factor for Chemical Induced Distributive Shock?
Normal BP, thirst, slight decreased UO, slight increase in HR from baseline
What are clinical manifestations of the initial stage?
Detect a drop in MAP as little as 5-10 mm Hg
What are baroreceptors?
Inappropriate clotting as a result of developing microthrombi that lead to hypoxia
What happens in the early stage of sepsis?
Head Trauma
What is a risk factor for Neuro Induced Distributive Shock?
Severe hypotension, rapid weak pulse, cool pale mottled skin, decreased pulses
What are clinical manifestations of the Refractory Stage?
Physiologic responses that try to keep adequate blood flow to vital organs
What are compensatory mechanisms?
Cold shock with low cardiac output
What is the Hypodynamic state of the progressive stage of shock?
Pulmonary Hypertension
What is a risk factor for Obstructive Shock?
Ensure patent airway, establish 2 large bore IV access sites, administer oxygen, modified Trendelenburg
What is priority nursing care?
Secreted by the kidneys and causes a decreased urine output
What is Renin?
What are clinical manifestations of Anaphylactic shock?
Cardiac Tamponade
What is a risk factor for Obstructive Shock?
Medication Management
What are Vasopressors, dobutamine or nitroprusside?
Baseline MAP decreases by 10-15 mm HG
What is the compensatory stage?
Administration of anticoagulants like heparin
What is the treatment of the early phase of DIC?