What are 5 signs and symptoms that your patient is going into hypovolemic shock?
Common signs and symptoms of shock include: In septic shock (from overwhelming blood infection):
shaking chills, rapid temperature increase, warm, flushed skin, and rapid pulse. In shock related to heart problems: lung congestion, rapid pulse, heart murmur, and enlarged neck veins. Shock can have several causes. Doctors classify shock according to categories: Who is Most At Risk?The following conditions and characteristics increase the risk for shock:
What to Expect at Your Provider's OfficeShock is an emergency and requires immediate conventional treatment. Your health care provider will diagnose shock based on your symptoms and any information about underlying disease or recent injury. Your provider will check blood pressure, assess mental status (memory, orientation, and alertness), measure urine output, and order blood tests to check heart, lung, and kidney function, and search for evidence of sepsis (blood infection). You may also undergo imaging tests and other procedures, such as x-ray, electrocardiography (ECG), echocardiography, and ultrasonography, to check the heart. Treatment OptionsPreventionIf you have heart disease or another condition that makes you susceptible to shock, you should seek treatment for that condition. If you have severe allergies, avoid substances that may trigger anaphylactic shock and carry self-injectable epinephrine to treat anaphylaxis. Treatment PlanThe main goals of treatment are to maintain blood pressure and to make sure the person's vital organs get enough blood and oxygen. First aid for shock includes having the person lie on their back, raising their legs to help blood return to the heart, stopping any bleeding, covering them with a coat or blanket to ensure warmth, and performing cardiopulmonary resuscitation (CPR), if needed. Emergency medical staff will administer oxygen, and in the case of hypovolemic and septic shock, intravenous fluids. Drug TherapiesDoctors may prescribe the following medications to treat shock:
Complementary and Alternative TherapiesShock is always life threatening and requires emergency conventional medical care. Some complementary and alternative therapies (CAM), however, may be used along with conventional treatment after a person's condition stabilizes, to help prevent shock. For instance, certain nutrients may help protect against the harmful effects of shock and improve the outcome of conventional treatment. Nutrition and SupplementsOxidative stress (damage to cells caused by the body's normal use of oxygen) may play a role in shock. Several studies show that antioxidants may protect against some types of shock, however, most of these studies have been done in animal. It is not known whether these supplements will also benefit humans. You may address nutritional deficiencies with the following supplements:
HerbsShock always requires emergency conventional medical treatment. It should never be treated with herbs. Talk to your doctor before taking any herbs to treat or prevent shock. HomeopathyNo scientific studies have evaluated homeopathic remedies for the treatment of shock, however, homeopathic doctors often use the remedy, aconite, for emergency conditions. In homeopathic remedies, aconite is highly diluted, and only a trace amount of the herb is present, so it is not toxic in a homeopathic formulation. Prognosis/Possible ComplicationsIf someone suffering from shock receives immediate treatment, the prognosis is good. Immediate treatment for anaphylactic shock, for example, usually results in complete recovery. But any case of shock is life threatening, regardless of its cause, particularly in the elderly. Shock often causes organ damage (including the kidneys, brain, and liver), cardiac arrest, and respiratory failure. More than 90% of young, otherwise healthy people with hypovolemic shock survive with appropriate treatment. In comparison, septic shock, or shock associated with heart problems, can have substantially worse mortality rates, even with optimal care. Following UpIf you are suffering from shock, you will likely be admitted to intensive care. Following treatment, your health care provider will carefully monitor your condition, including temperature, blood pressure, heart function, urine flow, and blood chemistry. Supporting ResearchAnderson ML, Peterson ED, Peng SA, et al. Differences in the profile, treatment, and prognosis of patients with cardiogenic shock by myocardial infarction classification: A report from NCDR. Circ Cardiovasec Qual Outcomes. 2013;6(6):708-15. Bope and Kellerman: Conn's Current Therapy 2012. 1st ed. Philadelphia, PA: Elsevier Saunders; 2011. De la Fuente M, Victor VM. Anti-oxidants as modulators of immune function. Immunol Cell Biol. 2000;78(1):49-54. Groeneveld AB, Molenaar N, Beishuizen B. Should we abandon corticosteroids during septic shock? No. Curr Opin Crit Care. 2008;14(4):384-9. Kethireddy S, Light RB, Mirzanejad Y, et al. Mycobacterium tuberculosis septic shock. Chest. 2013;144(2):474-82. Kliegman: Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011. Kumar: Robbins and Cotran Pathologic Basis of Disease, Professional Edition. 8th ed. Philadelphia, PA: Elsevier Saunders; 2009. Larsen GY, Mecham N, Greenberg R. An emergency department septic shock protocol and care guideline for children initiated at triage. Pediatrics. 2011;127(6):e1585-92. Li YL, Chan CP, Sin KK, et al. Validating a pragmatic definition of shock in adult patients presenting to the ED. Am J Emerg Med. 2014;32(11):1345-50. Lodha R, Arun S, Vivekanandhan S, Kohli U, Kabra SK. Myocardial cell injury is common in children with septic shock. Acta Paediatr. 2009;98(3):478-81. Puskarich MA, Trzeciak S, Shapiro NI, Arnold RC, Horton JM, Studnek JR, Kline JA, Jones AE. Association between timing of antibiotic administration and mortality from septic shock in patients treated with a quantitative resuscitation protocol. Critical Care Med. 2011;39(9):2066-71. Sligl WI, Milner DA, Sundar S, Mphatswe W, Majumdar SR. Safety and efficacy of corticosteroids for the treatment of septic shock: A systematic review and meta-analysis. Clin Infect Dis. 2009;49(1):93-101. Strehlow M. Early Identification of Shock in Critically Ill Patients. Emergency Medicine Clinics of North America . 2010;28(1). Venkatesh AK, Avula U, Bartimus H, Reif J, Schmidt MJ, Powell ES. Time to antibiotics for septic shock: evaluating a proposed performance measure. Am J Emerg Med. 2013;31(4):680-3. Victor VV, Guayerbas N, Puerto M, Medina S, De la Fuente M. Ascorbic acid modulates in vitro the function of macrophages from mice with endotoxic shock. Immunopharmacology. 2000;46(1):89-101. Wong HR, Cvijanovich NZ, Allen GL, et al. Corticosteroids are associated with repression of adaptive immunity gene programs in pediatric septic shock. Am J Respir Crit Care Med. 2014;189(8):940-6. What are 5 signs of hypovolemia?Hypovolemia is a condition that occurs when your body loses fluid, like blood or water.. Dizziness when standing.. Dry skin and dry mouth.. Feeling tired (fatigue) or weak.. Muscle cramps.. Unable to pee (urinate) or the color of your urine is darker than normal.. What are the signs of early hypovolemic shock?Hypovolemic shock symptoms include:. Breathing faster than normal.. Feeling confused or anxious.. Sweating a lot.. Passing out.. Having skin that feels cool.. Feeling weak.. Having a low temperature and low blood pressure.. Having a fast pulse.. Which signs and symptoms indicate that a patient has become hypovolemic?During the earliest stage of hypovolemic shock, a person loses less than 20% of their blood volume. This stage can be difficult to diagnose because blood pressure and breathing will still be normal. The most noticeable symptom at this stage is skin that appears pale. The person may also experience sudden anxiety.
What are the signs of hypovolemic shock that the nurse should be aware of?Hypovolemic shock requires early recognition of signs and symptoms.. Hypotension. Hypovolemic shock produces hypotension with narrowed pulse pressure.. Cognitive. The patient experiences decreased sensorium.. Tachycardia. ... . Rapid, shallow respirations. ... . Oliguria. ... . Clammy skin.. |