Shock

Etiology/Patho of Systemic Inflammatory Response Syndrome

Clinical manifestations of SIRS

SIRS is Manifested by 2 or more of the following:

What do we need to maintain BP & perfusion?

4 categories of shock

Types of cardiogenic shock

Symptoms of cardiogenic shock

Outcomes of cardiogenic shock

Causes of cardiogenic shock

Collaborative care of cardiogenic shock

As cardiogenic shock progresses..

IABP

LVAD

Systolic BP less than 90 and MAP less than 60

Hypovolemic shock

Symptoms of hypovolemic shock

Outcomes of hypovolemic shock

Absolute hypovolemia

Relative hypovolemia

Hypovolemic Shock Interventions

Anaphylactic shock

Symptoms of anaphylactic shock

Outcomes of anaphylactic shock

Collaborative care of anaphylactic shock

How will we know when our patient with anaphylactic shock is improving?

Sepsis

Septic shock

Severe sepsis

Septic shock defined

Outcomes of septic shock

Who's at risk for septic shock?

What infections put us most at risk for septic shock?

How will we know when our interventions are successful in hypovolemic shock?

Early sepsis

Late sepsis

Collaborative care of septic shock

Collaborative care of septic shock (cont)

Obstructive shock

Causes of obstructive shock

Stages of shock

Compensatory stage of shock

Manifestations of the compensatory stage

Progressive stage of septic shock

Spotting DIC in lab results

The paradox of DIC

DIC

Nursing Interventions in DIC

Refractory stage of shock

Nursing management of shock

Multiple organ dysfunction syndrome (MODS)

So what do we do? (MODS)

Normal Lab Values - BMP
Na+
K+
Ca++
Cl-
BUN
Cr
Glu

Normal Lab Values - CBC
WBC
RBC
Hgb
Hct
Platelet

Normal Lab Values - ABGs
pH
PaCO2
PaO2
HC03
SaO2
Base Excess (BE)

Normal Lab Values - Liver Fx Tests
Protein
Albumin
Bilirubin
ALT
AST
Ammonia

Normal Lab Values - Coag Studies
PTT
PT
INR