NURSING 242/244 Nursing Care of Patients with Shock; Chapter 37- Spring 2021
Nursing Care of Patients with Shock N242/244 Chapter 37 Shock and Significance • Abnormal cellular metabolism • Oxygenation and tissue perfusion not met • It is a syndrome • Common key features of shock REVIEW OF OXYGENATION AND TISSUE PERFUSION • TOTAL BLOOD VOLUME • CARDIAC OUTPUT • SIZE AND INTEGRITY OF THE VASCULAR BED Classification of Shock • Hypovolemic • Cardiogenic • Distributive • Obstructive SHOCK • The causes may be different BUT the effects of hypotension and anaerobic cellular metabolism have common key features!!! Shock: Cardiovascular Effects • Decreased cardiac output • Pulse rate increased, quality decreased • Decreased systolic blood pressure • Narrowed pulse pressure • Postural hypotension • Low CVP • Flat neck and hand veins in dependent positions • Slow capillary refill • Diminished peripheral pulses Shock: Respiratory Effects • Increased respiratory rate • Shallow depth of respirations • Increased PaCO2; decreased PaO2 • Cyanosis, especially around lips and nail beds. Shock: GI Effects •Decreased motility •Diminished or absent bowel sounds •Nausea and vomiting •Constipation Shock: NeuromuscularEarly •Anxiety and restlessness •Increased thirst Shock: Neuromuscular-Late • Lethargy to coma • Generalized muscle weakness • Diminished or absent deep tendon reflexes • Sluggish pupillary response to light
Document information
- Uploaded on
- April 12, 2021
- Number of pages
- 45
- Written in
- 2020/2021
- Type
- Other
- Person
- Unknown
