Shock

Search
Shock
KGMU College of Nursing, Lucknow
Jun 13, 2018 • 352 likes • 2,04,153 views
 2 of 23  
Healthcare
Shock, definition, types, causes,

pathophysiology, clinical manifestation,
diagnostic evaluation, management
Recommended
SHOCK
Shilpa Shiv
468.1K views • 93 slides
shock
tareq chowdhury
Bronchial asthma
ANILKUMAR BR
Rheumatic Heart
Disease
Neelu Aryal
Liver cirrhosis
Ekta Patel
Leukemia
Ratheeshkrishnakripa
Hypotension
Swatilekha Das
47K views • 9 slides
Hernia
Dr Ashok dhaka Bishnoi
More Related Content
What's hot
Lungs abscess
Abhay Rajpoot
Anemia
Dr.Sabari Nathan
Myocardial infarction
aishuanju
Chronic renal failure

Pinky Rathee
Hypovolemic Shock
Abdullatif Al-Rashed
Anemia
Hari Nagar
Anemia
Abhay Rajpoot
Edema
Jyoti Gaver
Cellulitis
Siva Nanda Reddy
Blood transfusion
Aashish Parihar
Coronary Artery
Disease
Abhay Rajpoot
Myocardial infarction
Dr Ramesh Krishnan
Anuerysm
Anupama Pradhan
Acute renal failure

Jijo G John
Edema
Kanav Bhanot
Rheumatic heart
disease
Abhay Rajpoot
Cerebrovascular
accident
Abhay Rajpoot
Raynaud’s disease
salman habeeb
SHOCK -
PATHOPHYSIOLOGY,
TYPES, APPROACH, …
DR K TARUN RAO
TREATMENT.
Pleural e!usion
education4227
Similar to Shock
shock-
180613074042.docx
MohammedAqeel39
8 views • 23 slides
SHOCK.pptx
KalaivaniGanapathy
Haemorrhage
SakuntalaGiri1
10 &11 shock
Dr. Haydar Muneer Salih
1011shock-
161227090739.pdf
Aditya Raghav
hemorrhage and
shock.pptx
vanitha n
APPROACH TO SHOCK
[Auto-saved].pptx
DRYOGESHMUNDRA2
pathophysiologyofsho
ck-201221150020.pdf
OanaM4
Pathophysiology of
shock
BipulBorthakur
SHOCK
MisfaKhatun
MANAGEMENT OF
SHOCK
BipulBorthakur
myshock-
141204124244-
conversion-…
kulmiye2
gate01.pptx
myshock-
141204124244-
conversion-…
MohammedAqeel39
gate01.docx
1 view • 93 slides
shock-180613074042
(1) (1).pptx
KulmiyeCaliJaxaf
Shock
Kanchan Kusatha
Shock
Aby Thankachan
Shock (Circulatory
shock)
Amith W A
Shock and its

management
Bibin Jacob
Shock
Anant Layall
Shock
Nimishs Chacko
Slideshows for you

Hypertension
Ratheeshkrishnakripa
Shock
KGMU College of Nursing, Luckn
Hepatitis
Nikhil Vaishnav
Head injury.ppt
salman habeeb
Blood transfusion
Aashish Parihar
Diarrhoea
Chetan Rastogi
Asthma ppt
Islamic university of science and
DEEP VEIN
THROMBOSIS
Dr.Hashim Syed Ali (Dr.Foster)
Meningitis
Mahesh kumar
Types of anesthesia
HIRANGER
Varicose vein
salman habeeb
Congestive heart
failure
Diabetes Mellitus
GAMANDEEP
Anaphylactic Shock
Fay AlBuainain
Total parentral
nutrition
Arifa T N
Ckd ppt
Jyoti Gaver
Neural tube defect

presentation
sheena bhatia
GCS ppt
Prof Vijayraddi
Raynaud’s disease
salman habeeb
Pneumothorax PPT
Dr. Sujitkumar Pandey (PT)
More from KGMU College of

Nursing, Lucknow
Encephalitis
Increased icp
Intracranial surgery
Cardiotonics
Meningitis
Status epilepticus
Factors a!ecting food

& nutrition
Elements of nutrition
macro & micro
nutrients
Classification of food
Congestive heart
failure
Cor pulmonale
Angina
Cardiopulmonary
resuscitation
Endocarditis
Teaching technology
ppt
Legal & ethical issues

in nursing- issues in
india
issues related to
patient care
Papaer presentation
of issues related to
paient care copy
Chain of Infection
Quality assurance in
nursing
Recently uploaded
Air+Guard (1).pdf
airguardseo
Kidney Health Across

the Lifespan
Hiranandani Hospita…
Dr. Sujit Chatterjee CEO Hiranan
Kidney.pdf
246- oral habits in

children orthodontics
- praxies …
OLIVIER OUSSAMA SANDID 2010
parafonctions
orthodontie...
10 Best Ayurvedic
Cough Syrup in
India.pptx
SwastikAyurveda
Revolutionizing
Neurological Disorder
Treatment: The …
Dr. David Greene
Promise of StemArizona
Cell
The...
Sternoclavicular Joint
Disorders | Massage
Myofitness Melbourne
myofitness
31 views • 1 slide
vvvvvvvv‫القمة‬
‫اسينمنت د حاتم‬
‫البيطار‬.pdf
‫د حاتم البيطار‬
Whtat you need to

know Before go to
hospital - Tanvir - …
tanvirnurse
NMCT - DEC 23.pdf
FAMILY HEALTH
SERVICES NURSING
GNM CLASS
HarshitBoss1
Anti Anginal Drugs

and its side a!ect and
uses
wajidullah9551
Trinity Health Ann

Arbor Nepal
Cases.pptx
idfellowshipthaa
Tummy-
Procedures.pptx
Quttainah Specialized Hospital
INDIGENOUS BREEDS
OF CATTLE IN
NEPAL.pptx
Jiwan karki
10 Best Herbal
Ayurvedic Face Wash
in India.pptx
SwastikAyurveda
Lec 4 Muscular
Flexibillity fall in
fitness pptx
SalmaAzeem3
dementia
ShahnaazShah
Trinity Health Ann

Arbor Plate Rounds 9-
13-23.pptx
idfellowshipthaa
Top Ayurvedic Tablets

to Treat Sleep
Disorders in India.pptx
SwastikAyurveda
Sample and sampling

AshokPandey166045
Helen Bevan: graphics

posted 2023
Helen Bevan
Related Books
Free with a 30 day trial from Everand View All
Ebook Ebook
Di!erential Fluid and
Diagnosis in… Electrolytes f…
Ahran Arnold
General Valencia
NursingPayne, BS…
Medicine Students
5/5 5/5
Related Audiobooks
Free with a 30 day trial from Everand View All
Audiobook Audiobook
Mucusless Diet The Gut-
Healing Syste… Immune…
Arnold Ehret
Scientific Emeran Mayer
Connection:
Method of How
5Eating
/5 Your Way 5Understanding
/5
to Health the Connection
Shock
1. SUBJECT- MEDICAL SURGICAL NURSING TOPIC- SHOCK -
MR. MIGRON RUBIN
2. INTRODUCTION Cells need two things to function: oxygen
and glucose. This allows the cells to generate energy and do
their specific jobs. When cells don’t receive either of them or
both, they stop functioning.
3. DEFINITION Shock is defined as a condition where the
tissues in the body don't receive enough oxygen and
nutrients to allow the cells to function.
4. CLASSIFICATION 1. Cardiogenic shock- It occurs due to
systolic or diastolic dysfunction. 2. Hypovolemic shock- It
occurs due to intravascular fluid volume. 3. Obstructive
shock- It occurs when there is physical obstruction in blood
flow.
5. 4. Distributive shock- (neurogenic, anaphylactic & septic) •
Neurogenic shock- It occurs from trauma that leads to spinal
cord injuries. • Anaphylactic shock- It is acute life threatening
hypersensitivity reaction to a sensitizing substance like drug,
chemical, vaccine, food etc. • Septic shock- Also known as
blood poisoning, is a condition caused by infections that lead
to bacteria entering blood.
6. ETIOLOGY • Severe allergic reaction • Significant blood
loss • Heart failure • Blood infections • Dehydration •
Poisoning • Burns
7. PATHOPHYSIOLOGY CARDIOGENIC SHOCK STRUCTURAL
DEFECTS IN HEART, DYSRHYTHMIAS ETC. SYSTOLIC &
DIASTOLIC DYSFUNCTION DECREASED CARDIAC OUTPUT &
INCREASED PULMONARY PRESSURE PULMONARY EDEMA
DECREASED CELLULAR OXYGEN SUPPLY DECREASED TISSUE
PERFUSION
8. HYPOVOLEMIC SHOCK DECREASED BLOOD VOLUME DUE
TO ACCIDENT, BURN ETC. DECREASED VENOUS RETURN
DECREASED CARDIAC OUTPUT DECREASED TISSUE
PERFUSION DECREASED CELLULAR METABOLISM
9. NEUROGENIC SHOCK DISRUPTION OF SYMPATHETIC
NERVOUS SYSTEM VASODILATION DECREASED BP
DECREASED CARDIAC OUTPUT DECREASED CELLULAR
OXYGEN SUPPLY DECREASED TISSUE PERFUSION IMPAIRED
CELLULAR METABOLISM
10. ANAPHYLACTIC SHOCK ALLERGEN , DRUG ETC. ANTIGEN
ANTIBODY REACTION VASODILATION CAPILLARY
PERMEABILITY SEVERE BRONCHO CONSTRICTION
DECREASED OXYGEN SUPPLY AND UTILIZATION INADEQUATE
TISSUE PERFUSION
11. SEPTIC SHOCK INFECTION RELEASE OF TOXIN
PERIPHERAL VASCULAR EFFECTS MYOCARDIAL PROBLEMS
ENDOTHELIAL DESTRUCTION DECREASED CONTRACTILITY
MICROVASCULAR INSUFFICIENCY INADEQUATE BLOOD FLOW
TO TISSUE INADEQUATE BLOOD FLOW TO THE TISSUE TISSUE
HYPOXIA CELL DEATH
12. OBSTRUCTIVE SHOCK PHYSICAL OBSTRUCTION IN
BLOOD FLOW DECREASED VENOUS RETURN DECREASED
CARDIAC OUTPUT DECREASED CELLULAR OXYGEN SUPPLY
DECREASED TISSUE PERFUSION IMPAIRED CELLULAR
METABOLISM
13. CLINICAL MANIFESTATIONS • Extremely low blood
pressure • Weakness • Chest pain • Weak pulse • Profuse
sweating • Dizziness
14. • Moist, clammy skin • Unconsciousness • Rapid, shallow
breathing • Feeling anxious, agitated or confused • Cyanosis
15. DIAGNOSTIC EVALUATION • History collection • Physical
examination • Blood culture & sensitivity test • CBC- increased
WBC & ESR level • Arterial blood gas analysis- respiratory
alkalosis
16. • ECG-dysarrthmias • Echocardiogram-to rule out aortic
stenosis and pulmonary embolism. • X-ray & CT scan • Cardiac
monitoring-Spo2,pulse,temp,BP are monitored continuously.
• Central venous pressure -fluid loss.
17. COMPLICATIONS • Loss of consciousness • Respiratory
failure • Coagulation disorder • Multi organ damage • Coma •
Death
18. MANAGEMENT I. MEDICAL MANAGEMENT A.
PHARMACOLOGICAL MANAGEMENT • Crystalloids: ringer’s
solution and normal saline • Inotropic agents: like dopamine ,
dobutamine and epinephrine • Vasodilators : nitroglycerine •
Diuretics : lasilactone, furosemide • Antibiotics : ciprofloxacin,
amoxicillin and clavulanic acid • Antihistamines : epinephrine
used in anaphylactic shock. • Corticosteroids :
dexamethasone • Sodium bicarbonate :used to treat
metabolic acidosis • Broncodilators : like atropine ,
aminophylline etc.
19. • B. NON- PHARMACOLOGICAL MANAGEMENT • Modified
trendelenberg position • Assessment of vital signs • Oxygen
administration • Parenteral nutrition support
20. II. SURGICAL MANAGEMENT • Wound debridement- in
case of chronic infected wound, burns wound debridement
to be done for fast healing • Angioplasty-in case of myocardial
infarction angioplasty can be performed • Tracheostomy
21. III. NURSING MANAGEMENT ASSESSMENT • Continuous
monitoring of vital signs should be done. • Assess Airway,
breathing & circulation of the patient. • Monitor for ABG value
• Check for urine output of the client. •
22. • NURSING DIAGNOSIS • Impaired tissue perfusion
related to decrease cardiac output, decreased venous return •
In e!ective breathing pattern related to hypoxia,
bronchospasm • Fluid volume deficit related to vomiting
hemorrhage • Acute pain related to myocardial infarction •
Imbalanced nutrition less then body requirement related to
vomiting, low intake of food
About Support Terms
Privacy Copyright
Cookie Preferences
English 
Do not sell or share my personal

information
Everand
© 2024 SlideShare from Scribd  

Shock

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Shock

Uploaded by

Copyright:

Available Formats

Search

Shock, definition, types, causes,

More Related Content

Chronic renal failure

Acute renal failure

Shock and its

Slideshows for you

Neural tube defect

More from KGMU College of

Factors a!ecting food

Legal & ethical issues

Kidney Health Across

246- oral habits in

Whtat you need to

Anti Anginal Drugs

Trinity Health Ann

Trinity Health Ann

Top Ayurvedic Tablets

Sample and sampling

Helen Bevan: graphics

About Support Terms

Do not sell or share my personal

© 2024 SlideShare from Scribd  

You might also like