EMR ch19

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Transcript of EMR ch19

Recognition and Care of Shock

PERFUSION AND SHOCK

Introduction to Biology

Perfusion and Shock

• Shock can be life-threatening.• The progression of shock can occur

rapidly or over several hours to days. • Care for patients with shock should not

be delayed.

CAUSES OF SHOCK

circulating cyclone of death

TYPES OF SHOCK

• HYPOVOLEMIC• OBSTRUCTIVE• DISTRIBUTIVE• CARDIOGENIC

CARIDOGENIC SHOCK

HYPOVOLEMIC SHOCK

HYPOVOLEMIC SHOCK

OBSTRUCTIVE SHOCK

DISTRIBUTIVE SHOCK

DISTRIBUTIVE SHOCK

ANAPHYLAXIS

DISTRIBUTIVE SHOCK

SEPSIS

TREATMENT

DISTRIBUTIVE SHOCK

DISTRIBUTIVE SHOCK

TREATMENT

STAGES OF SHOCK

• The Body's Response During Shock Compensated stage Decompensated stage Irreversible

Perfusion and Shock

• Early Signs and Symptoms of Shock Restlessness Altered mental status Increased heart rate Normal to slight low blood pressure Mildly increased breathing rate Skin that is pale, cool, and moist Sluggish pupils Nausea and vomiting

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Perfusion and Shock

• Signs and Symptoms Unresponsiveness Decreasing heart rate Very low blood pressure Slow and shallow respirations Skin that is pale, cool, and moist Dilated, sluggish pupils Respiratory and cardiac arrest can

develop

19.2.4 A dropping blood pressure is a late sign of shock.

MECHANISM OF INJURYAND SHOCK

Mechanism of Injury and Shock

• Caring for Shock Perform primary assessment. Ensure ABCs are properly supported. Control external bleeding. Administer oxygen per local protocol. Keep patient in supine position. Calm and reassure patient. Maintain normal body temperature.

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Mechanism of Injury and Shock

• Caring for Shock Monitor and support the ABCs. Do not give patient anything by mouth. Monitor patient's vital signs.