ALL ABOUT SHOCK
This cardinal trait is seen across all different types of shock. Hint: hypo___
What is hypoperfusion?
This vital sign abnormality that Mr. Brown is presenting with reflects the bodies attempt at maintaining cardiac output and is the most indicative of early hypovolemic shock.
What is HR of 132 bpm?
Mr. Brown's heart rate of 132 bpm is an early sign of this compensatory response to blood loss.
What is tachycardia?
This fluid resuscitation strategy is commonly used in the initial treatment of hypovolemic shock to restore circulating blood volume
What is administering crystalloids, such as normal saline or lactated Ringer’s solution?
These parameters should be monitored every 15 minutes to assess progress and ensure control of hypovolemic shock.
What are vitals signs and LOC?
A lack of oxygen at end tissues results in this form of energy production. Bonus 200 points if you can state the net energy production from one cycle
What is anaerobic respiration? 2 ATP
Mr. Brown's A&O x2 status is most likely an early sign of decreased perfusion to this vital organ
Given his BP of 92/54 and 1+ radial pulses, Mr. Brown is likely experiencing this type of shock.
What is hypovolemic shock?
Mr.Brown is placed in this position to best assist with circulation (Hint: also known as the “Shock Position”)
What is the Trendelenberg Position?
This additional information should be obtained in a hypovolemic shock patient, often preceded by an Allen test.
What is an ABG?
When cardiac output is reduced, our bodies force the heart to pump harder by increasing this compensatory response.
What is systemic vascular resistance? (SVR)
A hypovolemic shock diagnosis is further supported by this physical assessment finding which indicates poor peripheral perfusion
What is weak, thready radial pulses? (+1)
The application of a tourniquet on his right arm suggests that this is his primary source of volume loss.
What is hemorrhage or uncontrolled bleeding?
If Mr. Brown is not responding to fluid resuscitation and vasopressors, you should monitor this organ system closely for signs of failure.
What is monitoring renal function (e.g., urine output, BUN, creatinine)?
This intervention is used to maintain adequate fluid replacement in hypovolemic shock when additional volume is needed beyond crystalloids.
What is administering and transfusing blood products, such as plasma and red blood cells (RBCs)?
Hypovolemic Schock can also be the result of fluid loss. Ascites is one form of fluid loss characterized by third spacing due a lack of this molecule within blood plasma.
Albumin
This symptom of the integumentary system would indicate Mr. Brown's hypovolemic shock is worsening.
This class of shock is often associated with a significant drop in circulating blood volume, typically seen after 30-40% blood loss.
What is Class III (severe) hypovolemic shock?
You know to monitor for hypokalemia due to RAAS stimulation when giving Mr. Brown this medication.
What are nursing implications for administering alpha adrenergic for shock?
This is the first choice for treating severe hypotension or shock to increase blood pressure and restore blood circulation balance to Mr. Brown.
What is administering vasopressor and alpha and beta adrenergic agonist?