| Question | Answer |
| 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 |
