1. 15.4 Providing First Aid for Shock
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LEQ: When caring for a shock victim, how does the type of shock determine the treatment?

2. Shock
Also called hypoperfusion and can be called “a clinical set of signs and symptoms associated with an inadequate supply of blood to body organs, especially the brain and heart”

3. When shock occurs, the body attempts to increase blood flow to the brain, heart, and vital organs by reducing blood flow to other body parts and can lead to:
Cyanosis
Cool Skin
Diaphoresis
Tachycardia
Tachypnea
Hypotension
Weakness, Confusion, or Unconsciousness
Anxiety and Restlessness
Excessive Thirst, N/V
Blurred Vision, Sunken eyes, & Dilated Pupils

4. Treatment is Directed at
Eliminating the Cause
Improving Circulation, especially to the brain and heart
Providing adequate O2 supply
Maintaining Body Temp (98.6 Oral)

5. Anaphylactic Shock
Allergic Reaction to food, meds, stings, bites, or chemicals
Body releases histamines which causes vasodilation and hives (urticaria)

6. Cardiogenic Shock Heart Damage (MI or AMI)
Heart is unable to pump and BP drops

7. Hemorrhagic Shock
Severe Bleeding
Decrease blood volume

8. Metabolic Shock Severe N/V, diarrhea, heat illness, or diabetes
Hypotension Occurs

9. Neurogenic Shock Injury to the brain and/or spinal cord injury
Nervous system loses the ability to control the size of blood vessels and hypotension occurs

10. Psychogenic Shock Emotional distress such as anger, fear, or grief
Emotional response causes massive vasodilation and causes hypotension (Fight or Flight)

11. Respiratory Shock
Choking, Trauma to the Respiratory Tract or chronic disease
Interferes with the Oxygen exchange between the lungs and the blood stream

12. Septic Shock Acute Infection (Toxic Shock Syndrome)
Poisons or toxins in the blood cause vasodilation and hypotension
Usually documented along with Septicemia

13. TX Supine, Feet Up at least 12 inches
Cover w blanket and make sure a blanket is under the patient to keep them warm, but do not overheat
Precautions: * N/V, Bleeding of the mouth, Head or Neck injury,* Do not give anything PO