Stages of Shock
Shock stage seen as an increase in HR from patient's baseline
What is initial or early?
Give an example of a condition that may cause hypovolemic shock
What is hemorrhage, dehydration, etc.?
One cause of cardiogenic shock
What is AMI, acute dysrhythmias, severe CHF, pulmonary embolism, cardiomyopathy, surgical or spontaneous damage to valves, etc.?
A child is stung by a bee has an itchy rash on the face, neck, and chest, labored breathing w/audible wheezing.
This is the medication that the RN should administer first?
What is epinephrine?
Obstructive shock treatment is based on...
What is the cause?
Anerobic metabolism & Cellular hypoxia leads to...
What is metabolic acidosis?
This is the cause of hypovolemic shock
What is fluid loss/shifts?
This is one cardiac and one respiratory symptom associated with cardiogenic shock
What are:
Cardiac - chest pain, elevated CVP, edema, JVD, tachycardiac, hypotension, etc.?
Respiratory - pulmonary congestion, crackles, etc.?
These are 2 complications of septic shock
What are ARDS and DIC?
Obstructive shock is caused by _______ factors
What are non-cardiac?
Hypotension and decreased urine output <30 can be seen in this stage
What is progressive or non-compensatory?
These are the treatments for hypovolemic shock (2)
What are restore blood volume and correct underlying cause?
Measurement used to measure pressure in the right atria or vena cava
What is central venous pressure?
This is one neurogenic shock treatment
What is Reversal of anesthesia, Vasopressors IV, If hypoglycemic – give D10, RX cause: ie pain or Incr ICP?
This is one cause of obstructive shock
What is Pulmonary hypertension, tension pneumothorax, pericarditis, thoracic tumor, cardiac tamponade, pulmonary embolism?
This stage of shock is when the damage is so severe the patient cannot survive
What is irreversible or refractory?
These are the vital sign changes in hypovolemic shock
What are tachycardia, hypotension, and tachypnea?
Treatment of cardiogenic shock is dependent on...
What is the cause?
This is one cause and 2 vital signs changes associated with neurogenic shock
What are (General or spinal anesthesia, epidural block, spinal cord injury or TBI, vasovagal syncope, altered function of vasomotor center due to hypoglycemia) and bradycardia & hypotension
A patient is found with a tension pneumothorax and obstructive shock.
This is the treatment for this scenario
What is chest tube/needle decompression?
These are the 4 stages of shock
What are Initial or Early, Compensated or Non-progressive, Non-compensated or Progressive, and Irreversible or Refractory?
These are the 3 types of fluid replacements used in hypovolemic shock (AND give one example of each)
What are crystalloids (NS, LR), colloids (albumin), and blood products (Whole blood, PRBCs, FFP)?
These are the 3 vasoactive medications and 1 potential complication for each medication used to treat cardiogenic shock
What are Positive inotropes (dobutamine) - hypotension, vasopressors (dopamine, epi) - hypertension/infiltration, vasodilators/nitrates (nitroprusside) - vasodilation/shock?
These are 3 septic shock treatment interventions
What are Fluid Resuscitation, ABX, vasopressors, respiratory support, and monitoring lactic levels?
This is the obstructive shock treatment due to a cardiac tamponade
What is pericardiocentesis?