1. Nursing Management: Shock and Multiple Organ Dysfunction Syndrome
Chapter 67 Overview
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Fig Relationship of shock, systemic inflammatory response syndrome, and
multiple organ dysfunction syndrome. CNS, Central nervous system.
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Shock
Classification of Shock
Cardiogenic shock
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Shock
Fig The pathophysiology of cardiogenic shock.
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Shock
Classification of Shock, continued
Hypovolemic shock
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Shock
Fig The pathophysiology of hypovolemic shock.
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Shock
Classification of Shock, continued
Distributive shock
Neurogenic shock
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Shock
Fig The pathophysiology of neurogenic shock. BP, Blood pressure.
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Shock
Classification of Shock
Distributive shock, continued
Anaphylactic shock
Septic shock
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Shock
Fig The pathophysiology of septic shock. CNS, Central nervous system.
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Shock
Classification of Shock, continued
Obstructive shock
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Shock
Fig The pathophysiology of obstructive shock.
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Shock
Stages of Shock
Compensatory stage
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Shock
Fig Compensatory stage: reversible stage during which compensatory mechanisms
are effective and homeostasis is maintained.
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Shock
Stages of Shock, continued
Progressive stage
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Shock
Fig Progressive stage: compensatory mechanisms are becoming ineffective and
fail to maintain perfusion to vital organs.
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Shock
Stages of Shock, continued
Irreversible stage
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Shock
Fig Irreversible or refractory stage: compensatory mechanisms are not functioning
or are totally ineffective, leading to multiple organ dysfunction syndrome.
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Shock
Diagnostic Studies
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Shock
Collaborative Care: General Measures
Oxygen and ventilation
Fluid resuscitation
Drug therapy
Sympathomimetic drugs
Vasodilator drugs
Nutritional therapy
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Shock
Collaborative Care: Specific Measures
Cardiogenic shock
Hypovolemic shock
Septic shock
Neurogenic shock
Anaphylactic shock
Obstructive shock
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22. Nursing Management: Shock
Nursing Assessment
Nursing Diagnoses
Planning
Nursing Implementation
Health promotion
Acute intervention
Neurologic status
Cardiovascular status
Respiratory status
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23. Nursing Management: Shock
Nursing Implementation
Acute intervention, continued
Renal status
Body temperature and skin changes
Gastrointestinal status
Personal hygiene
Emotional support and comfort
Ambulatory and home care
Evaluation
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Systemic Inflammatory Response Syndrome (SIRS) and Multiple Organ Dysfunction Syndrome (MODS)
Etiology and Pathophysiology
Organ and metabolic dysfunction
Clinical Manifestations of SIRS and MODS
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25. Nursing and Collaborative Management: SIRS and MODS
Prevention and Treatment of Infection
Maintenance of Tissue Oxygenation
Nutritional and Metabolic Needs
Support of Failing Organs
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