Nursing Care of Patients in Shock

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Presentation transcript:

Nursing Care of Patients in Shock Chapter 9 Nursing Care of Patients in Shock

Shock Circulatory Collapse Resulting in Organ Damage and Death Without Immediate Treatment

Pathophysiology of Shock Tissue Perfusion: Adequate Blood Volume, Effective Cardiac Pump, Effective Blood Vessels Compensation: Change in One or Both of Nonfailing Tissue Perfusion Mechanisms Shock: Failure in Compensation

Metabolic and Hemodynamic Changes in Shock Sympathetic Nervous System Tachycardia Tachypnea Oliguria Cool, Clammy Skin with Pallor Decreased Blood Pressure

Effect on Organs Tissue Ischemia and Organ Injury Kidneys Injured First Brain Death if Anoxic Over 4 Minutes

Complications from Shock Adult Respiratory Distress Syndrome Disseminated Intravascular Coagulation Multisystem Organ Failure

Classification of Shock Hypovolemic Shock Decreased Circulating Blood Volume Cardiogenic Shock Cardiac Failure Obstructive Shock Blockage of Blood Flow Outside Heart

Classification of Shock (cont’d) Distributive Shock Excessive Dilation of Venules/Arterioles

Types of Distributive Shock Anaphylactic Shock Septic Shock Neurogenic Shock

Therapeutic Interventions for Shock Maintain Airway/Respiratory Support Provide Cardiovascular Support Maintain Circulatory Volume Control Bleeding Treat Cause

Nursing Diagnoses Ineffective Tissue Perfusion Decreased Cardiac Output Fear Deficient Knowledge

Nursing Care Maintain Airway, Oxygenation Monitor Vital Signs Monitor Intake and Output Provide Fluids as Ordered Provide Warmth Relieve Pain