Question

Rayson is a 64-year-old male being treated for hypovolemic shock resulting from bleeding injuries received in a motor vehicle accident. Mr. Rayson has a decrease in his MAP of 12 mm Hg from his baseline reading, increased heart rate, decreased pulse pressure, decreased urine output, increased K level, and mild acidosis. He states, “I am so thirsty.”

----In which stage of shock is Mr. Rayson?

Answer 1

Ans) Shock is the state of not enough blood flow to the tissues of the body as a result of problems with the circulatory system.-

Initial symptoms may include weakness, fast heart rate, fast breathing, sweating, anxiety, and increased thirst. This may be followed by confusion, unconsciousness, or cardiac arrest as complications worsen.

Mr. Rayson may be in Hypovolemic shock.

- Hypovolemia, also known as volume depletion or volume contraction, is a state of decreased intravascular volume. This may be due to either a loss of both salt and water or a decrease in blood volume. Hypovolemia refers to the loss of extracellular fluid and should not be confused with dehydration. Dehydration refers to excessive total body water loss that results in cellular hypertonicity (a relatively substantial loss of fluid within individual cells).

Hypovolemia is caused by a variety of different events, but these can be simplified into two categories: those associated with kidney function and those that are not. The signs and symptoms of hypovolemia worsen as the amount of fluid lost increases. Immediately or shortly after mild fluid loss, one may experience headache, fatigue, weakness, dizziness or thirst (as in blood transfusion, diarrhea, vomiting). Untreated hypovolemia or excessive and rapid losses of volume may lead hypovolemic shock. Signs and symptoms of hypovolemic shock include increased heart rate, low blood pressure, pale or cold skin, and altered mental status. When these signs are seen, immediate action should be taken to restore the lost volume.