Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)

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Study Tools For Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)

Rapid Infusion Hypovolemic Shock (Image)
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Outline

Hypovolemic and Distributive Shock

 

Definition/Etiology:

  • Hypovolemic Shock – condition of inadequate organ perfusion caused by acute loss of intravascular volume
  • Distributive Shock – pathological redistribution of intravascular volume.

 

Pathophysiology:

  • Hypovolemic – No volume! Blood loss is the most common cause. No volume = no cardiac preload. HR increases to meet demands, but BP is low because we have no volume
  • Usual causes – hemorrhage/trauma/internal bleeding

 

  • Distributive shock – you have the volume, but your vessels are on the fritz. Expand to the point that your regular volume is no longer enough to maintain an adequate pressure. 
  • Usual causes – sepsis, anaphylaxis

 

Clinical Presentation:

Shock presentation:

  • High HR
  • Low BP 
  • Inadequate oxygenation and organ profusion

 

  • Hypovolemic 
  • Hemorrhage
  • Trauma 

 

  • Distributive 
  • Fever
  • Low oxygen saturations
  • Hives if ampholytic

 

Collaborative Management:

  • Hypovolemic 
  • Stop the bleed
  • Replace the volume
  • CBC
  • BMP
  • Lactic Acid
  • Type & Screen
  • Blood transfusion

 

  • Distributive
  • CBC
  • BMP
  • Lactic Acid
  • Blood cultures

 

  • Fluids 
  • Epinephrine
  • Vasoconstrictors
  • Antibiotics

 

Evaluation | Patient Monitoring | Education:

  • Hemodynamic monitoring
  • Treatment of the cause

 

Linchpins: (Key Points)

  • Hypovolemic = no volume
  • Distributive = volume but no vessels
  • Treat the cause

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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

  • Standl, T., Annecke, T., Cascorbi, I., Heller, A. R., Sabashnikov, A., & Teske, W. (2018). The nomenclature, definition and distinction of types of shock. Deutsches Ärzteblatt International115(45), 757

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NP4 Exam 3

Concepts Covered:

  • Integumentary Disorders
  • Integumentary Disorders
  • Postoperative Nursing
  • Cardiac Disorders
  • Musculoskeletal Trauma
  • Shock
  • Shock
  • Renal Disorders
  • Emergency Care of the Respiratory Patient
  • Studying
  • Immunological Disorders

Study Plan Lessons

Assessment of a Burn Nursing Mnemonic (SCALD)
Burn Injuries
Burn Injuries
Burns for Certified Emergency Nursing (CEN)
Different Dressings
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
The 5-Minute Assessment (Physical assessment)
Wound Care – Assessment
Wound Care – Selecting a Dressing
02.14 Shock Stages for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Metabolic Acidosis (interpretation and nursing diagnosis)
Neurogenic Shock for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Sepsis
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan for Distributive Shock
Nursing Case Study for Cardiogenic Shock
Rapid Sequence Intubation
Sepsis Concept Map
Sepsis for Certified Emergency Nursing (CEN)
Septic Shock (Sepsis) Case Study (45 min)
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock Module Intro
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Burn Injuries
Burn Injuries
Nursing Care and Pathophysiology for SIRS & MODS