Shock/Sepsis Flashcards
What are the 4 stages of shock?
Initial – important to recognise it
Compensatory – body is working hard to maintain homeostasis (RR strong marker, increased HR, vasoconstriction)
Progressive – critical stage – can be saved but tissue damage is happening, increase in lactic acid, metabolic acidosis, LoC
Refractory – irreversible – death
Explain what Hypovolemic shock is
external/internal fluid loss) = leads to reduced CO/tissue perfusion
From things like
surgery
Trauma
V&D
GI Bleed
Burns
Nursing Management for above:
Rapid assessment ABCDEs
IV line
Vital signs monitoring
Give O2
What are the signs of SEPSIS
S=slurred speech/confusion
E=extreme shivering/muscle pain/fever
P=passing no urine
S=severe breathlessness
I=it feels like death!
S=skin mottled
Outline the treatment for SEPSIS = Golden hours for Sepsis Six
Blood cultures
Lactate markers
AB – broad spectrum
Fluids
Oxygen
Urine measurement
What is Sepsis?
a life-threatening condition that occurs when the body’s response to an infection becomes dysregulated and causes widespread inflammation throughout the body. This overwhelming inflammatory response can lead to organ dysfunction, tissue damage, and circulatory failure.
MEDICAL EMERGENCY!
What is shock?
a medical emergency that occurs when the body’s circulatory system fails to deliver adequate oxygen and nutrients to tissues and organs. This results in impaired cellular function and can lead to organ failure, tissue damage, and, if untreated, death
MEDICAL EMERGENCY
Body compensates by activating SNS, RAAS, ADH
What are some predisposing factors for someone to develop SEPSIS
- Chronic medical condition - underlying medical condition like diabetes, cancer
- Age - impaired immune function
- Compromised immunity - meds, surgery. neutropenia (leukemia)
- Frequent infections
- Severe trauma/burns
- ICU patients
- Poor nutrition
- History of Sepsis
- Pregnancy/portpartum
