hypovolemic shock

Question 1

What is the most common type of shock?

Answer 1

Hypovolemic

Question 2

What is hypovolemic shock?

Answer 2

Decreased intravascular volume
Reduction of at least 15-30% of intravascular fluid
750-1500 mL of blood loss in a 70 kg person (apparently nobody is 70kg anymore?)

Question 3

What are common causes of hypovolemic shock?

Answer 3

Fluid loss or shifting (dehydration, edema, ascites, etc.)

Question 4

How do we manage hypovolemic shock?

Answer 4

Fluid replacement
2 WORKING IV lines
Blood products
Modified trendelenburg position for fluid redistribution (knee straight, trunk horizontal, head slightly elevated)

Question 5

Alternative for IVs for hypovolemic shock?

Answer 5

Intraosseous catheter

Question 6

What must the nurse monitor in hypovolemic shock and why?

Answer 6

Temperatures
Rapid fluid resuscitation can cause hypothermia

Question 7

When do we initiate pharmacological therapy for hypovolemic shock?

Answer 7

If fluid fails to reverse the shock

Question 8

What medications are given for hypovolemic shock?

Answer 8

Vasoactive medications that prevent heart failure
Medications to reverse the cause of dehydration
Insulin for hyperglycemia
Desmopressin (DDAVP) for diabetes insipidus
Antidiarrheal for diarrhea
Antiemetic for vomiting