Shock

Question 1

How is hypovolemia managed?

Answer 1

Monitoring I&Os q8 hours, daily weights (best indicator of FVD or FVE), listening to breath sounds, check skin turgor

Question 2

How is hypovolemia corrected?

Answer 2

Administering oral fluids, if not possible then initiate enteral or parenteral route.

Question 3

What isotonic solutions are used for resuscitation in hypovolemic shock?

Answer 3

Lactated Ringers and 0.9% NaCl are first line solutions.

Question 4

What are the stages of shock?

Answer 4

Stage 1: Compensatory: BP WNL, PT displays fight or flight response
Stage 2: Progressive: MAP falls below 65, Systolic below 90
Stage3: Irreversible: organ damage is so severe, pt does not respond to treatment and will not survive

Question 5

How is shock managed?

Answer 5

Monitor changes in LOC, pulse pressure, urinary output, maintain glucose levels at 140-180, vital signs are important. Assess before BP falls!

Question 6

Recommended position for Hypovolemic Shock

Answer 6

Modified trendelenburg to promote the return of venous blood to the heart

Question 7

What is hypovolemic shock?

Answer 7

Most common type of shock. Caused by third-spacing. Reduction in intravascular volume by 15-30%, which is loss of 250-1500mL of blood

Question 8

What is third-spacing?

Answer 8

Third spacing occurs when fluid moves out of the intravascular space but not into the intracellular space.