Chapter 13- The progression of shock Flashcards
The early stage of shock while the body can still compensate for blood loss is called
Compensated shock
The late stage of shock when the blood pressure is failing and the mental status is declining is called
Decompensated shock
A condition defined by the inability to successfully achieve resuscitation, regardless of the methods employed is known as
Irreversible shock
when shock progresses too far it becomes irreversible however, there is no way to
Know when a patient has reached this point, therefore it is important to recognize and treat shock early
what is likely the last measurable factor to change in shock?
Blood pressure
The body has several mechanisms to compensate for initial blood loss. Thus by the time you detect a decrease in blood pressure shock is already ____
Well developed
this is particularly true and infants and children because they can
maintain their blood pressure until they have sustained blood loss equivalent to more than 1/2 of their blood volume
by the time, blood pressure drops in infants and children who are in shock, they are already close to
Death
you should expect shock if a patient has one of the following conditions
Multiple severe fractures
Abdominal or chest injury
Spinal injury
Severe infection
Major heart attack
anaphylaxis
Recording vital signs and observing perfusion indicators, such as _____ and ____ will give you an indication of the progression ofclose
skin color and mental condition
monitoring vital signs every _____ minutes may reveal a pattern that will alert you to the presence of evolving shock
5
Although skin paleness can suggest a decrease in blood flow, It can be difficult to detect in dark skin people. for these patients, you may learn more by examining:
Capillary refill and mucus membranes inside the inner lower eyelid
