What's My Type
Shock from inadequate circulating volume resulting in inadequate cardiac output to meet tissue oxygenation requirements.
What is Hypovolemic Shock
Heart rate >90 beats/min
RR >20 breaths/min
Temperature >38.0ºC or <36ºC
SBP <90 mmHG
What are clinical manifestations of Septic Shock
Support airway/ventilation, control volume loss, administer volume replacement
What are treatment priorities for Hypovolemic Shock
The ratio of the heart rate to the systolic blood pressure
What is Obstetrical Shock Index
The most significant cause of high maternal mortality
What is Obstetrical Shock
Shock that results from cardiac dysfunction and reduced cardiac output with adequate intravascular volume.
What is Cardiogenic Shock
Hypotension
Pulmonary congestion
Reduced mentation
Mottled and cool skin
Weak peripheral pulses
What are clinical manifestations of Cardiogenic Shock
Decrease myocardial oxygen demand
Improve myocardial oxygen supply
Reduce pulmonary edema
Optimize perfusion & cardiac output
What are the treatment priorities for Cardiogenic Shock
Every 4 hours and PRN 24/7
What are vital signs
Bleeding early in pregnancy: Trauma, miscarriage, infection, ectopic & molar pregnancy
Antepartum hemorrhage: Ruptured uterus, ruptured Vasa Previa, abruption, placenta previa & trauma
Postpartum hemorrhage: Retained placenta, boggy uterus, hematoma
What are causes of Hemorrhagic Shock
SPECIFIC type of shock with increased venous capacity due to a loss of peripheral vasomotor tone with unopposed parasympathetic response.
What is Neurogenic Shock
Hypotension
Tachycardia
Cool-clammy skin
Elevated systemic vascular resistance
Loss of circulating blood volume
What are clinical manifestations of Hypovolemic Shock
Four nursing interventions for any form of shock
AIRWAY BREATHING: Optimize O2 delivery & decrease O2 demand
CIRCULATION: Control hemorrhage & restore volume
DISABILITY: Reduce pain & anxiety
ENVIRONMENT / EXPOSURE: Maintain normothermia & AVOID hypothermia
Must be obtained for the OSI to calculate
What is blood pressure and heart rate/pulse
Disturbed ectopic pregnancy
Concealed hemorrhage
Internal cephalic versions
Spinal Anesthesia
Ruptured uterus
Precipitous labor
ROM w/polyhydramnios
What are causes of Neurogenic Shock
Type of shock commonly associated with primary or secondary spinal cord injury
What is Neurogenic Shock
Hypotension
Wheezing
Itching
Abdominal cramping / Diarrhea
What are clinical manifestations of anaphylactic shock
Compensatory mechanisms of tachycardia & slight blood pressure changes that remain homeostatic
What is Pre-Shock
The simple, accurate, reliable, and low-cost early diagnostic measure that identifies hemodynamically unstable women.
What is the Obstetrical Shock Index
Pulmonary embolism
Amniotic embolismVenous air embolism
Arrhythmias
Peripartum cardiomyopathy
What are causes of Cardiogenic Shock
Type of shock commonly associated with a severe allergic reaction to medications, food & insect.
What is Anaphylactic Shock
Hypotension
Reflex bradycardia
Temperature dysregulation
Flushed skin
What are the manifestations of Neurogenic Shock
Overwhelmed compensatory mechanisms leading to organ dysfunction
What is SHOCK
32.9 deaths per 100 000 live births
What is the maternal mortality in the United States in 2021
Maternal age
Obesity
Cardiovascular comorbidities
Pre-eclampsia
Gestational diabetes
Unsuspecting healthy women with no comorbidities
What are risk factors for Cardiogenic Shock