25 terms

Shock-Types & Stages

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Potential Cause
Allergic Reaction
Anaphylactic
Potential Cause
►Inadequate heart function
►Disease of muscle tissue
►Impaired electrical system
►Disease or injury
Cardiogenic
Potential Cause
Loss of blood or fluid
Hypovolemic
Potential Cause
Excessive loss of fluid and electrolyes due to vomiting, urination or diarrhea
Metabolic
Potential Cause
Damaged cervical spine, which causes widespread blood vessel dilation
Neurogenic
Potential Cause
►Temporary, generalized vascular dilation
►Anxiety, bad news, sight of injury/blood, prospect of medical treatment, severe pain, illness, tiredness
Psychogenic
Potential Cause
Severe bacterial infection
Septic
Signs/Symptoms (S/S)
►Can develop within seconds
►Mild burning rash
►Burning skin
►Vascular dilation
►Generalized edema
►Profound coma
►Rapid death
Anaphylactic
Signs/Symptoms (S/S)
►Chest Pains
►Irregular pulse
►Weak pulse
►Low blood pressure
►Cyanosis
►Anxiety
Cardiogenic
Signs/Symptoms (S/S)
►Rapid, weak pulse
►Low blood pressure
►Change in mental status
►Cyanosis (lips, nails)
►Cool, clammy skin
►Increased respiratory rate
Hypovolemic
Signs/Symptoms (S/S)
►Rapid, weak pulse
►Low blood pressure
►Change in mental status
►Cyanosis (lips, nails)
►Cool, clammy skin
►Increasing respiratory rate
Metabolic
Signs/Symptoms (S/S)
►Bradycardia
►Low blood pressure
►Signs of neck/spinal injury
Neurogenic
Signs/Symptoms (S/S)
►Rapid pulse
►Normal or low blood pressure
Psychogenic
Signs/Symptoms (S/S)
►Warm skin
►Tachycardia
►Low blood pressure
Septic
Treatment
►Manage the airway
►Assist ventilations
►Administer high-flow O2
►Determine cause
►Assist with Epinephrine
►Transport promptly
Anaphylactic
Treatment
►Position comfortably
►Administer O²
►Assist ventilations
►Transport promptly
Cardiogenic
Treatment
►Secure Airway
►Assist ventilations
►Administer high-flow O²
►Control external bleeding
►Elevate legs
►Keep warm
►Transport promtly
Hypovolemic
Treatment
►Secure Airway
►Assist ventilations
►Administer high-flow O²
►Determine illness
►Transport promptly
Metabolic
Treatment
►Secure airway
►Spinal immobilization/ Spinal mobile restriction
►Assist ventilations
►Administer high-flow O²
►Transport promptly
Neurogenic
Treatment
►Determine duration of unconsciousness
►Record initial vital signs
►Suspect head injury if patient is confused or slow to regain consciousness
►Transport promptly
Psychogenic
Treatment
►Transport promptly
►Administer high-flow O2 en route
►Provide full ventilatory support
►Elevate legs
►Keep patient warm
Septic
Signs/Symptoms (S/S)
►Pale skin
►Slightly rapid heart rate
►Blood pressure in the normal range
►Restlessness or anxiety
►Delayed capillary refill in infant or child
Compensated
Signs/Symptoms (S/S)
►Extreme thirst
►Rapid heart rate
►Decrease blood pressure
►Cool and moist skin that is pale, grey or bluish and mottled
►Major changes in the patients mental status
Decompensated
Signs/Symptoms (S/S)
►Very low blood pressure
►Extremely rapid pulse
Irreversible
Definition of shock?
Inadequate tissue perfusion