Professional Documents
Culture Documents
Shock
Shock OBJECTIVES
Shock and Fluid Resuscitation List the signs and symptoms of each type of shock. List the indications for intravenous fluid replacement. Identify the need for rapid transport when confronted with continuing hypoperfusion.
Shock
List the signs and symptoms of hemorrhagic shock
Signs & Symptoms
Skin Respirations Blood Pressure Pulse Capillary Refill Level of Consciousness
Shock
List the signs and symptoms of hemorrhagic shock
Blood Loss Up to 750 ml Blood Loss 750-1500 ml Blood Loss Blood Loss 1500- 2000 ml > 2000 ml
Pulse Rate
< 100
>100
>120
>140
Blood Pressure
Pulse Pressure
Normal
Normal
Decreased Decreased
Respiratory Rate
CNS/Mental Status
14-20
Slightly anxious
20-30
Mildly anxious
30-40
Anxious, confused
> 35
Confused, lethargic
Shock
List the signs and symptoms of non-hemorrhagic shock
Signs & Symptoms - Neurogenic Shock Skin Respirations Blood Pressure Pulse Capillary Refill Level of Consciousness
Shock
List the signs and symptoms of obstructive shock
Signs & Symptoms Tension Pneumothorax, Pericardial Tamponade Skin Respirations Blood Pressure Pulse Capillary Refill Level of Consciousness
Shock
List the indications for intravenous fluid replacement
Volume Replacement
Medication Administration
Shock
Identify the need for rapid transport when confronted with continuing hypoperfusion
Transportation
TRANSPORT TO A TRAUMA CENTER IF Pulse greater than one hundred twenty in combination with evidence of hemorrhagic shock; Systolic blood pressure less than ninety, or absent radial pulse with carotid pulse present; Evidence of hemorrhagic shock means physiologic indicators of blood loss that may include any of the following symptoms:
Delayed capillary refill; Cool, pale, diaphoretic skin; Decreased systolic blood pressure with narrowing pulse pressure; Altered level of consciousness.
TRAUMA CENTER
Shock Summary
Shock
Shock
Case Study
Shock QUESTIONS ?
BTLS ATLS
Advanced Trauma Life Support, 6th Edition, American College of Surgeons