Shock 1
This type of shock occurs when there is a significant loss of circulating blood volume or fluid volume
What is hypovolemic shock?
This type of shock occurs when the heart cannot pump enough blood to meet the body’s oxygen demands.
What is cardiogenic shock?
This type of shock occurs when blood vessels dilate and blood is maldistributed, causing relative hypovolemia.
What is distributive shock?
Septic shock, neurogenic shock, and anaphylactic shock are all examples of this type of shock.
What is distributive shock?
This medication is the priority treatment for anaphylactic shock because it causes bronchodilation and vasoconstriction.
What is epinephrine?
A trauma patient with cool clammy skin, tachycardia, hypotension, narrow pulse pressure, and decreased urine output is most likely experiencing this type of shock.
what is hypovolemic shock?
This is the most common cause of cardiogenic shock?
What is myocardial infarction?
A spinal cord injury patient has hypotension, bradycardia, warm dry skin, and loss of temperature regulation. These findings are most consistent with this type of distributive shock.
What is neurogenic shock?
A patient with suspected sepsis has a fever, warm flushed skin, bounding pulses, tachycardia, and hypotension. This early phase is often called this.
What is warm shock or early distributive/septic shock?
This type of shock occurs when blood flow is physically blocked from filling or leaving the heart.
What is obstructive shock?
This is the priority fluid replacement for a patient in early hypovolemic shock from dehydration or fluid loss.
What are isotonic fluids such as normal saline and Lactated ringer's
A patient with chest pain, pulmonary crackles, pink frothy sputum, hypotension, cool clammy skin, and an S3 heart sound is showing signs of this shock state.
What is cardiogenic shock?
Cardiac tamponade, tension pneumothorax, and massive pulmonary embolism are classic causes of this type of shock.
What is obstructive shock?
A patient suddenly develops respiratory distress, absent breath sounds on the left side, tracheal deviation, JVD, and hypotension. The nurse should suspect this life-threatening condition.
What is tension pneumothorax?
This vital sign change is usually one of the earliest indicators of shock?
What is tachycardia?
A patient has a GI bleed, heart rate 132, BP 82/46, urine output 15 mL/hr, and hemoglobin 6.8 g/dL. The nurse should anticipate this priority treatment.
What is rapid volume replacement with blood products and isotonic fluids?
The nurse should question a large rapid fluid bolus in cardiogenic shock because it can worsen this complication.
What is pulmonary edema?
A patient with muffled heart sounds, jugular venous distention, hypotension, and narrowing pulse pressure may have this obstructive emergency.
What is cardiac tamponade?
This hourly measurement is a key indicator of kidney perfusion and overall tissue perfusion.
What is urine output?
In all types of shock, this lab value may increase due to anaerobic metabolism and poor tissue oxygenation?
What is serum lactate?
In hypovolemic shock, the body releases catecholamines and activates the RAAS system. These compensatory mechanisms cause these expected assessment findings.
What are tachycardia, peripheral vasoconstriction, cool clammy skin, decreased urine output, and increased thirst?
A patient in cardiogenic shock has a BP of 78/42, SpO₂ 88%, crackles bilaterally, and decreased level of consciousness. These are the priority nursing actions.
What are support oxygenation, notify the provider or rapid response team, place the patient on continuous cardiac monitoring, establish IV access, anticipate vasopressors/inotropes, and prepare for advanced cardiac support or reperfusion therapy?
A patient develops sudden dyspnea, pleuritic chest pain, tachycardia, hypoxia, hypotension, and signs of right-sided heart strain. The nurse should suspect this obstructive cause of shock.
What is a massive pulmonary embolism?
A patient in shock becomes restless, confused and difficult to arouse. This assessment finding indicates this serious probolem?
What is decreased cerebral perfusion or worsening tissue hypoxia?
A patient arrives after a motor vehicle crash with BP 76/40, HR 142, RR 30, cool clammy skin, weak peripheral pulses, delayed capillary refill, and decreasing level of consciousness. What are the nurse’s priority actions?
What are activate rapid response/trauma team, support airway and oxygenation, apply high-flow oxygen, establish two large-bore IVs, begin rapid isotonic fluid resuscitation, anticipate blood products, control bleeding, place on continuous monitoring, assess urine output, and prepare for emergency interventions?