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what is shock? - answer-inadequate tissue perfusion
Stages of shock - answer-Initial
Compensatory
Progressive
Irreversible
Initial shock - answer-to little oxygen to feed organs
Compensatory shock - answer-BP normals
HR increased
Assess for fever and inspect the head and body for sweating
,All vital signs are LOW (cardiac output low) = neurogenic bladder (lack of
bladder control due to sci or nerve problems)
Septic shock - answer-endotoxins in the bloodstream from infection such as
pneumonia.
positive blood cultures
Treatment = antibiotics
Cardiogenic shock - answer-heart pump failure (caused by end stage HF, MI)
Increased cardiac enzymes
Anaphylactic shock - answer-caused by a severe allergic reaction and can lead
to airway closure
S/S: difficulty breathing, wheezing, angioedema
Treatment: Epinephrine / Norepinephrine
Shock - answer-Hypotension is a key s/s for all types of shock
DIC - answer-clots all over the body leading to ischemia and risk for bleeding
, 3 phases of burns - answer-Emergent phase
Acute phase
Rehabilitation phase
Emergent Phase - answer-Time Frame = begins at the time of the burn and
ends 24-48 hours after injury occurs
Nursing Care = airway, fluid resuscitation, organ function
assess for any s/s of inhalation injury (singed eyebrows or nasal hair, sooty
sputum)
Make sure tetanus is UTD
Homograft or Allograft - answer-skin graft from another person
S/S: anxious, SOB, confused