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12 Objectives
shock
Question | Answer |
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pathophysiology of shock | Hypoperfusion -cells no longer getting adequate amounts of o2, blood, and glucose -not getting rid of co2 and h2o |
Causes of shock | -Pump failure -Poor vessel function (disruptive shock) -Low fluid volume -allergic Rx -infection -injury -respiratory failure |
Various types of shock | - cardiogenic shock - obstructive shock -septic shock -neurogenic shock -anaphylactic shock -psychogenic shock -hypothermic shock |
Signs and symptoms of compensated shock | -agitation, -anxiety, -restlessness, -feeling of impending doom, altered mental status, -weak rapid or absent pulse, -Clammy skin, -pallor, -shallow rapid breathing, -nausea or vomiting, -narrow pulse pressure |
Signs and symptoms of decompensated shock | – falling blood pressure under 90 -labored or irregular breathing -ashen, melted, or cyanotic skin -thready or absent peripheral pulse -dull eyes, dilated pupils -Poor urinary output |
Patient assessment with shock | Scene size up - PPE, & safety 1 assessment – a rapid exam, LOC, identify and manage life threat concerns Hx taking – determine the chief complaint and obtain medical history 2 assessment – repeat, 1 assessment do focus exam Reassess everything |
Emergency care for shock | -transport all patients immediately -keep warm -Manage airway -give high flow o2 -consider ALS -position comfortably -consider C-spine -determine LOC |