Which is one of the first signs of shock?

Cool, clammy skin. Pale or ashen skin. Bluish tinge to lips or fingernails (or gray in the case of dark complexions) Rapid pulse.
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What are the 4 stages of shock?

They include the initial stage, the compensatory stage, the progressive stage, and the refractory stage.
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What are the 4 causes of shock?

Causes
  • Heart problems (such as heart attack or heart failure)
  • Low blood volume (as with heavy bleeding or dehydration)
  • Changes in blood vessels (as with infection or severe allergic reactions)
  • Certain medicines that significantly reduce heart function or blood pressure.
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What is the first indicator of shock in a trauma patient?

Common signs and symptoms of shock include: Low blood pressure. Altered mental state, including reduced alertness and awareness, confusion, and sleepiness. Cold, moist skin.
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What are signs of shock?

Signs and symptoms of shock vary depending on circumstances and may include:
  • Cool, clammy skin.
  • Pale or ashen skin.
  • Bluish tinge to lips or fingernails (or gray in the case of dark complexions)
  • Rapid pulse.
  • Rapid breathing.
  • Nausea or vomiting.
  • Enlarged pupils.
  • Weakness or fatigue.
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SIGNS AND SYMPTOMS OF SHOCK (2018)



What is the most common shock?

Distributive shock is the most common type of shock, followed by hypovolemic and cardiogenic shock. Obstructive shock is relatively less common. The most common type of distributive shock is septic shock and has a mortality rate between 40 to 50%.
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What happens in the first stage of shock?

In medical terms, shock is the body's response to a sudden drop in blood pressure. At first, the body responds to this life-threatening situation by constricting (narrowing) blood vessels in the extremities (hands and feet). This is called vasoconstriction and it helps conserve blood flow to the vital organs.
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What is the early assessment of shock?

The patient should be placed on continuous telemetry, noninvasive blood pressure monitoring, and pulse oximetry. An ECG and chest radiograph should generally be obtained. Bedside ultrasonography (i.e. FAST examination) can provide valuable information to narrow the differential diagnosis.
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What are the early and late signs of shock?

Signs of early (compensated) shock include tachycardia, poor skin color, cool/dry skin, and delayed capillary refill. Systolic blood pressure is normal in early shock. In late (decompensated) shock, perfusion is profoundly affected.
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What to do when in shock?

  1. Lay the Person Down, if Possible. Elevate the person's feet about 12 inches unless head, neck, or back is injured or you suspect broken hip or leg bones. ...
  2. Begin CPR, if Necessary. If the person is not breathing or breathing seems dangerously weak: ...
  3. Treat Obvious Injuries.
  4. Keep Person Warm and Comfortable. ...
  5. Follow Up.
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What are the 7 types of shock?

18.9A: Types of Shock
  • Learning Objectives.
  • Hypovolemic Shock.
  • Cardiogenic Shock.
  • Obstructive Shock.
  • Distributive Shock.
  • Septic.
  • Anaphylactic.
  • Neurogenic.
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What is trauma shock?

Traumatic shock is a defense mechanism that helps protect your brain and body. Traumatic shock can be accompanied by a range of physical and emotional symptoms, such as numbness, confusion, disassociation, dizziness, and rapid heartbeat. It is usually short-lived, but can feel a lot longer.
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What is shock in EMT?

Jul 31, 2020. Shock is a medical emergency that occurs when the organs and tissues of the body are not receiving an adequate flow of blood. Shock is also described as inadequate perfusion. The lack of perfusion deprives the organs and tissues of oxygen, carried in the blood, and causes the buildup of waste products.
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What are the 5 stages of shock?

Stages of Shock NCLEX Review
  • Septic shock: occurs due to a severe infection.
  • Hypovolemic shock: occurs due to severe fluid loss.
  • Neurogenic shock: occurs due to severe damage to the neuro system (example: spinal injury)
  • Cardiogenic shock: occurs due to a weak heart.
  • Anaphylactic shock: occurs due to an allergic reaction.
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What are the 3 basic causes of shock?

There are several main causes of shock: Heart conditions (heart attack, heart failure) Heavy internal or external bleeding, such as from a serious injury or rupture of a blood vessel. Dehydration, especially when severe or related to heat illness.
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What are the stages of shock quizlet?

Match
  • Initial stage (early stage)
  • Nonprogressive or Compensatory stage.
  • Progressive stage.
  • Progressive stage S&S:
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What are the signs and symptoms and treatment of shock?

Shock is a serious condition that occurs when your body doesn't get enough blood flow. Symptoms of shock include low blood pressure, rapid heartbeat, shallow breathing, anxiety and fatigue. The first step in shock first aid treatment is calling 911.
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What is Stage 4 shock noted?

Class 4 shock is the most severe case with acute blood loss of over 2000 mL (or over 40% total blood volume). The patient's heart rate will be tachycardic, over 140 bpm, with nonpalpable or thready peripheral pulses.
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When was shock first defined?

In 1866, the surgeon Thomas Buzzard formu- lated a classification system for ''shock to the nervous system'' based on his experience caring for victims of railway accidents and ''other vio- lence.
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What are the 4 types of shock quizlet?

Terms in this set (4)
  • Hypovolemic shock. is due to decreased blood volume.
  • Cardiogenic shock. is due to poor heart function.
  • vascular shock. is due to inappropriate vasodilation.
  • obstructive shock. is due to obstruction of blood flow.
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Which is the most obvious symptom of shock?

Loss of consciousness may be the first noticeable effect and shock can worsen rapidly, potentially causing permanent organ damage or death.
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What is the most reliable indicator of shock?

Appearance, breathing and perfusion are more reliable clinical indicators of shock. Prolonged capillary refill (>2 seconds) is a sign of decreased tissue perfusion and is more beneficial as a sign of shock in children than in adults. Persistent tachycardia is the most reliable indicator of shock in children.
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What is the most common type of shock resulting from trauma?

The most common type of shock in trauma patients is hypovolemic shock—specifically, hemorrhagic shock. Clinically, patients present with hypotension, tachycardia, and a narrowed pulse pressure.
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What are the effects of shock quizlet?

Subjective changes include thirst and anxiety. Objective changes include restlessness, tachycardia, increased respiratory rate, decreased urine output, falling systolic blood pressure, rising diastolic blood pressure, narrowing pulse pressure, cool extremities, and a 2% to 5% decrease in oxygen saturation.
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