Diagnosis and Management of Shock 1. cardiac tamponade, tension pneumo) • Cardiogenic shock (pump failure) Stages of Shock • Initial shock • Compensatory shock • Progressive shock • Refractory shock (end stage, super bad news) Clinical S/S of Shock (these are the general signs, each type has specifics) Department of Anaesthesia and Intensive Care, the Chinese University of Hong Kong Last update July 2015[ MANAGEMENT OF SHOCK Definition of shock Shock is a state in which there is inadequate blood flow to the tissues to meet demand. These immune responses cause inflammation which releases chemicals called Cytokines. The type of shock needs to be rapidly elucidated and initial management steps initiated to minimize the time of tissue hypoperfusion. Nursing Management. These categories included hypovolemic shock, distributive shock, cardiogenic shock, and • Obstructive (a mechanical barrier i.e. Diagnosis and Management of shock Dr.Hossam Hassan Consultant and Assistant prof D.E.M 1. Now, Neurogenic shock is caused … Needle decompression and subsequent placement of a chest tube (tube thoracotomy) is … Obstructive shock develops when a physical obstruction to blood flow occurs resulting in decreased cardiac output. Choose one type of shock: Shocked states-Cardiogenic-Hypovolaemic-Distributive – septic, anaphylactic or neurogenic-Obstructive – Pneumothorax, Pulmonary Embolism and Tamponade 2. Obstructive Shock. Nursing assessment of a patient in shock is explored, and the use of tools such as the pulse oximeter is examined. Obstructive shock is caused by physical obstruction of circulation either into or out of the heart. This can be caused by restricted diastolic filling of the right ventricle from compression caused by cardiac tamponade, tension pneumothorax, or superior vena cava syndrome. Anaphylactic shock is an immune response because of an allergic reaction, and Septic shock is an immune response because of an infection. The nurse has an important role in preventing anaphylactic shock. The nurse must assess all patients for allergies or previous reactions to antigens. Rapid and definitive care must be administered to causes of obstructive shock, as they are acutely life-threatening. Choose 1 recent advance (within the last 10 years) that has occurred in the assessment or management of your chosen type of shock. In the perioperative period, various mechanisms can lead to the development of shock. The initial management of shock is problem- ... understanding of how best to care for patients with septic shock the SSC Executive Committee has. Assess any kind of allergy. Keywords: Obstructive shock, pneumothorax, cardiac tamponade, pulmonary embolus, left-sided obstructive heart lesion. Obstructive shock is due to obstruction of blood. Communication is an essential part of assessment. 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