Compensatory shock o Normal BP, HR increase, Increase RR o Continually assess o Resp alkalosis

Progressive o BP drops o Decrease tissue perfusion o Dysrhythmias o Metabolic acidosis o Assess continually

Irreversible o Leads to multiple organ o Requires mechanical or pharm support o Profound acidosis o Continue to assess o Support family o BP drops support with fluids and pressors

Someone on pressor o Titrate, give through central line

UO is decreased in irreversible Hypovolemic shock

o Loss of fluids o Can get from trauma, burns, big surgery, (ruptures AAA) Cardiogenic shock o Heart damage to left ventricle o Decrease CO low tissue perfusion o Support by meds pressors, LV balloon pump, intuabted Neurogenic shock o Caused from CNS damage, spinal cord injury o BRADYCARDIA Anaphylaxis o Allergic reaction o Will be intubated quickly bc will lose airway o Give fluid support BP with pressors, Septic shock o Infection, o Prevent by handwashing Know definition of shock Goal of all shock is to reverse hypoxia Know table 15-1 .differ b/w crystalloids and colloids Most common crystalloids is NS or LR

Why do we feed people o To help metabolic demands; shock increases metabolic rates and requirements

MODS o What should our plan of care focus on? Supporting pts family

When we give a lot of fluids we have to make sure they are warmed because they could develop hypothermia

Know morphine and what it does o Pain relief o Dilates the blood vessels Reduces the workload of the heart by both decreasing the cardiac filling pressure (preload) and reducing the pressure against which the heart muscle has to eject blood (afterload). o Reduces the PTs anxiety o

Multiple organ failure pt does not live Person in shock do continuous assessment and monitor for complications/SE of any meds/tx they are getting

Massive vasodilation causes pooling of blood which leads to decrease venous return and CO