NUR 2790 Discussion Prevention of Shock

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NUR 2790 Discussion Prevention of Shock

NUR 2790 Discussion Prevention of Shock

Your
patient is a 42-year-old female that arrives in the ED with complaints of fever
and not feeling well. She is currently undergoing chemotherapy for bladder
cancer. She has an indwelling urinary catheter with scant amount of dark, foul
smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28.
She is allergic to penicillin and Sulfa.

What type of
shock is she experiencing?

What
interventions do you anticipate the doctor will order?

What can
you teach this patient about prevention of infection?

The doctor
orders Bactrim. What should you be concern about? Why

  • Shock is a life-threatening medical condition and is a medical emergency. If shock is suspected call 911 or get to an emergency department immediately.
  • The main symptom of shock is low blood pressure. Other symptoms include rapid, shallow breathingcold, clammy skin; rapid, weak pulse; dizzinessfainting, or weakness.
  • There are several types of shock: septic shock caused by bacteria, anaphylactic shock caused by hypersensitivity or allergic reaction, cardiogenic shock from heart damage, hypovolemic shock from blood or fluid loss, and neurogenic shock from spinal cord trauma.
  • Treatment for shock depends on the cause. Tests will determine the causand severity. Usually, IV fluids are administered in addition to medications that raise blood pressure.
    • Septic shock is treated with antibiotics and fluids.
    • Anaphylactic shock is treated with diphenhydramine (Benadryl), epinephrine (an “Epi-pen”), and steroid medications (solumedrol).
    • Cardiogenic shock is treated by identifying and treating the underlying cause.
    • Hypovolemic shock is treated with fluids (saline) in minor cases, and blood transfusions in severe cases.
    • Neurogenic shock is the most difficult to treat as spinal cord damage
        • is often irreversible. Immobilization, anti-inflammatories such as steroids and surgery are the main treatments.
      • Shock prevention includes learning ways to prevent heart disease, injuries, dehydration, and other causes of shock.

      What is shock?

       

      Shock is a life-threatening medical condition as a result of insufficient blood flow throughout the body. Shock often accompanies severe injury or illness. Medical shock is a medical emergency and can lead to other conditions such as lack of

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      What is shock?

       

      Shock is a life-threatening medical condition as a result of insufficient blood flow throughout the body. Shock often accompanies severe injury or illness. Medical shock is a medical emergency and can lead to other conditions such as lack of oxygen in the body’s tissues (hypoxia), heart attack (cardiac arrest) or organ damage. It requires immediate treatment as symptoms can worsen rapidly.

      Medical shock is different than emotional or psychological shock that can occur following a traumatic or frightening emotional event.

      What are the 5 types of shock?

       

       

      Symptoms of Septic Shock

      Symptoms of septic shock include fever, nausea, vomiting, and dizziness or fainting.

       

      Septic shock results from bacteria multiplying in the blood and releasing toxins. Common causes of this are pneumoniaurinary tract infections, skin infections (cellulitis), intra-abdominal infections (such as a ruptured appendix), and meningitis.

      Anaphylactic shock is a type of severe hypersensitivity or allergic reaction. Causes include allergy to insect stings, medicines, or foods (nuts, berries, seafood), etc.

      Cardiogenic shock happens when the heart is damaged and unable to supply sufficient blood to the body. This can be the end result of a heart attack or congestive heart failure.

      Hypovolemic shock is caused by severe blood and fluid loss, such as from traumatic bodily injury, which makes the heart unable to pump enough blood to the body, or severe anemia where there is not enough blood to carry oxygen through the body.

      Neurogenic shock is caused by spinal cord injury, usually as a result of a traumatic accident or injury.

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