Module 15A- Shock!. John Nation, RN, MSN From the notes of Nancy Jenkins, RN, MSN. Shock-. Summary- Lewis p. 1772-1798, 1738-1746 Types of Shock Stages of Shock Management of Shock Nursing Interventions Systemic Inflammatory Response Syndrome (SIRS)
Module 15A- Shock!
John Nation, RN, MSN
From the notes of Nancy Jenkins, RN, MSN
Shock- Clinical syndrome characterized by decreased tissue perfusion and impaired cellular metabolism resulting in an imbalance between the supply and demand for oxygen and nutrients
Low blood flow-
Maldistribution of blood flow-
Septic shock- Presence of sepsis with hypotension, despite fluid resuscitation, with decreased tissue perfusion
Sepsis- systemic inflammatory response to an infection
LVAD implantation (23 minutes into clip)
Successful management involves:
Systemic Inflammatory Response Syndrome (SIRS)- a systemic inflammatory response to a variety of insults, including infection, ischemia, infarction, and injury
A patient with a gunshot wound to the abdomen is being treated for hypovolemic and septic shock. To monitor the patient for early organ damage associated with MODS, it is most important for the nurse to assess:
At 9pm, you admit a 63 year-old with a diagnosis of acute myocardial infraction to the ED. The physician is considering the use of fibrinolytic therapy with tissue plasminogen activator (tPA, alteplase (Activase)). Which information is most important to communicate to the physician?
Questions are from Prioritization, Delegation, and Assignment (LaCharity, Kumagai, and Bartz)