Hypovolemic Shock
Hypovolemic shock is a ______ problem
Volume Problem
These are the three causes of Obsturctive Shock
1. Cardiac Tamponade
2. Tension pneumothorax
3. Pulmonary Embolism
This is the best response for a patient who is experiencing anaphylactic shock.
What is epinephrine
sepsis is...
The body's Overactive and Toxic reaction to an infection.
These are the four stages of shock.
1. Initial Stage
2. Compensatory stage
3. Progressive stage
4. Refractory stage
This happens when there is an external loss of body fluid and can be caused by Diabetes Insipidus and/or Vomiting/Diarrhea.
What is Absolute Volume Loss
These are the heat tones you would hear in a patient experiencing cardiac tamponade.
What are Distant Heart tones
This is the most concerning respiratory sign from a person experiencing anaphylactic shock.
What is Stridor
This is what makes Septic shock different from sepsis.
Septic shock occurs when sepsis leads to life-threatening hypotension despite fluid resuscitation.
This stage of shock is characterized by failing compensatory mechanisms and has the warning signs of hemodynamic instability and increasing lactic acid.
This happens when there is Internal misplacement of body fluid caused by third spacing, Internal bleeding, or Massive vasodilation.
What is Relative Volume loss
This is the hallmark finding of Tension pneumothorax.
What is Tracheal Deviation
This is what the patient should do immediately after administering epinephrine for anaphylactic shock.
Seek treatment in the ED.
HR > 90bpm, Temp 96.8-100.4, increased respiratory rate, edema, altered mental status, and unexplained hyperglycemia are examples of this type of variable to identify sepsis.
What are General Variables
Mental status change is the warning sign in this stage of shock
These fluids are to be used when replacing fluid volume in a client with Hypovolemic shock.
NS 0.9% or LR
This is the treatment that the nurse would expect from a patient with a Tension pneumothorax
What is a chest tube
This is the most important component of Patient education for a patinet that has an anaphylactic allergy.
What s prevention
After notifying the provider immediately that sepsis is suspected, the nurse will focus on these six things:
1. Keep O2 >94%
2. Obtain blood cultures
3. Give IV Abx
4. Begin IV fluid resuscitation
5. Check lactate
6. Monitor UOP
What is Refractory shock
This is the type of IV access the patient with hypovolemic shock should have.
What is 2 Large-bore IV access/Central line
This is the ideal Nursing care component for a patient who is at risk for a Pulmonary embolism.
These are the cardiac clinical manifestations for a patient experiencing anaphylactic shock.
1. Chest pain
2. Edema
3. Hypotension
4. Tachycardia
When should the nurse start administering IV abx for a septic patient?
Within 60 minutes, regardless of whether the lab has gotten blood cultures yet.
This is the stage of shock where the SNS is activated and the compensatory mechanisms kick in
What is the Compensatory Stage