As I can see, the disorder is "SHOCK" without mentioning its particular type (neurogenic or cardiogenic).
Pathophysiology
loss of fluid resulting in its volume, stroke volume and cardiac output, atrial pressure, etc.
ASSESSMENT
Risk factors
Old age. a prior heart attack or disease, high blood pressure, diabetes, accidents, trauma, certain medications, etc.
Expected findings
the main symptom of shock is low bp (insufficient blood flow in the body). treatment depends on the underlying cause.
Safety considerations
Do not try to move a person with a suspected spinal injury unless they are in a situation of further injury.
keep the patient comfortable with their clothes.
Laboratory tests
Blood tests for increase in potassium and serum lactate levels.
Diagnostic procedures
Tests for shock include X-rays, EKGs, Cardiac catheterization, blood pressure measurement, etc. Also change in blood pH, the partial pressure of oxygen, and increased partial pressure of carbon dioxide.
PATIENT-CENTERED CARE
Nursing care
Maintenance of fluid volume, normal blood pressure, temperature and pulse at a functional level; maintaining elastic skin turgor to person, place, and time; safe administration of blood and fluids, monitoring weight and vital signs, oxygen administration, etc.
Therapeutic procedures
There are different therapeutic procedures for different shock types. some of the examples are-
A cocktail of Benadryl, epinephrine, and Solu-Medrol can be used to treat anaphylactic shock. Saline solutions or blood transfusions are used in case of hypovolemic shock.
Medications
Again, these medications are different for different types of shock.
Dopamine, which is a natural precursor of norepinephrine and epinephrine has a vasodilatory effect, is used in case of cardiogenic shock. other medications of cardiogenic shock are Dobutamine, Levosimendan, Phosphodiesterase Inhibitors, etc. while in case of neurogenic shock, vasopressin is used.
Interprofessional care
The first step is to identify the people at risk of developing shock and then examining their history and clinical findings for diagnosis. intervention to control the cause of decreased perfusion and protection of organs from dysfunction. lastly to monitor that the patient is responsive to the treatment procedures and have maximum oxygen delivery.
Complications
Renal failure, Stroke, Cardiopulmonary arrest, Dysrhythmia, Faint pulse, Cyanosis, Acute respiratory distress syndrome, Multiple organ dysfunction syndromes, Death.
DISORDER/DISEASE PROCESS Shock REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health...
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