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Shock by Mind Map: Shock
5.0 stars - 5 reviews range from 0 to 5

Shock

80 year old female, fell and fractured her hip.  Since her ORIF 10 days ago, has had a foley catheter to gravity drainage. Source:  Lewis, S. (2007).  Medical-surgical nursing:  Assessment and management of clinical problems (7th ed.). Philadelphia, PA: Mosby Elsevier.

Pathophysiology

Regardless of the cause of shock, the end result is decreased tissue perfusion and impaired cellular metabolism

Low Blood Flow

Cardiogenic Shock

Hypovolemic Shock

Maldistribution of Blood Flow

Neurogenic Shock

Anaphylactic Shock

Septic Shock

Signs & Symptoms

stages of shock

Intital

Compensatory

Progressive

Refractory

body systems

Renal, decreased urine output

Cardiovascular, decreased cardiac output

Neurologic, alteration in mental status

Pulmonary, hypoxia

Diagnostics

Lab

CBC

Cultures, Blood, Urine, Sputum

ABG's

DIC screen, Ptt and PT, platelet count

BUN and creatinine

glucose

electrolytes, Na+, K+

liver enzymes, ALT, AST, GGT

urine, specific gravity

CXR

12-lead EKG

Nursing Diagnoses

Inneffective tissue perfusion r/t

low blood flow

maldistribution of blood

Fear r/t

Collaborative Care

Early Recognition

Correct the underlying cause

Prevent organ dysfuntion

Multisystem supportive care

Nursing

Oxygen and Ventilation

Fluid Resuscitation

Isotonic solutions

Hypertonic solutions

Blood/Bood Products

Colloids

Drug Therapy

Sympathomimetics, epinephrine (Adrenalin)

Vasodilators, nitroglycerin (Tridil), nitroprusside (Nipride)

Vasopressors, norephinephrine (Levophed), dopamine (Intropin)

Antibiotics?

Inotropics, dobutamine (Dobutrex), dopamine (Intropin)

Anticoagulation?

Nutritional Therapy

Enteral

Parenteral

Circulation

IABP