EMR ch19
-
Upload
djorgenmorris -
Category
Healthcare
-
view
64 -
download
0
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
continued on next slide
continued on next slide
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.
continued on next slide
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.