Distributive Shock Case Study

The Shock of the Fall or also titled Where the Moon Isn’t by Nathan Filer, a mental health nurse himself, writes a stunning novel about the struggles of daily life for a boy with schizophrenia. In a first person point of view, Matthew Homes, tells us how even ten years after his older brother’s death, he has found a way to bring his brother back.

In addition to elevated blood pressure, retention of fluid leading to edema and leakage of

This scenario helped me understand the pathophysiologic process of pneumonia and decompensated shock and how they could possibly manifest in children. Since in our first simulation of the semester we learned different methods of assisting a patient in improving his/her breathing status I was better able to intervene and know what to do to improve our patient’s breathing status. However, I have never been exposed to a patient undergoing decompensated shock. Therefore, this time I was able to learn what to do in case a situation as such arises in the future on a real patient. Shock can be due to several reasons such as bleeding or severe dehydration. However, it was apparent in this case that the patient was not externally bleeding, but she was

As previously mentioned, the left ventricle is no longer as compliant and therefore cannot fill with blood without encountering resistance. The use of diuretics decreases overall volume, which as a result decreases overall pressure. This lost pressure may be needed in order for blood to pump with added pressure against the resistance into the ventricle. Once pressure is lost the patient is said to have hypotension and is at risk for blood not being able to perfuse to vital tissues (Burchum et al., 2016, pg.

In the book coming up short, Jennifer Silva passionately speaks to 100 people in-depth, about why young adults are having such a hard time transitioning to adulthood in the society that we live in today. The interviews vary from men to women, white to black, and are ranged within the ages of twenty-four to thirty-four. Silva compares the different generations, and how they have different ways of growing into adulthood, and how they have to re-imagine adulthood. Highlighted is the fact that economic insecurity is affecting the ability to connect with others, get an education, make certain choices, and follow certain dreams. Silva writes: "experiences of powerlessness, confusion, and betrayal within the labour market, institutions such as education and the government, and the family teach young working-class men and women that they are completely alone, responsible for their own fates and dependent on outside help at their peril. They are learning the hard way that being an adult means trusting no one by yourself." Silva states that young working-class are going through many more struggles, and going through those struggles in a more difficult way than previous generations did to simply become an adult. “Whatever happens next, happens, and I will deal with it when it happens.” are one of the ways an interviewee is dealing with this problem, and quite frankly it is also my perspective.

that affects the body by excreting a “thick mucus” in the lungs, making breathing difficult and

Some of the immediate physical complaints include constantly feeling cold, bloodshot eyes with dark circles, finger calluses, dizziness, weakness, lackluster hair, moodiness, insomnia, no menstruation, swollen glands, weight loss, sore throat, or dry skin. Some of the long-term effects include extreme weight loss, gastrointestinal pain, diarrhea and/or constipation, malnutrition, loss of tooth enamel,

mediators, causing increasing capillary permeability and widespread fluid shift into the interstitial space, which was no longer functioning to maintain vascular volume (known as third spacing) in addition, causing further vasodilation to occur.

Hypovolemic shock is an urgent condition of rapid reduction of circulatory volume in the body, which can be created due to blood or plasma or body fluids loss (Kettley & Marsh, 2016, p. 31; Perner & Backer, 2014, p. 613). Blood loss can be induced by internal or external injuries, excessive perspiration or diuretics (Craft & et al, 2015, p. 852). Maureen Hardy’s hypovolemia has been precipitated by hematemesis.

Make it harder to breathe, which can lead to a panic attack or breathing more rapidly or heavily than normal (hyperventilation).

This reaction occurs as a result of the bodys immune sytem reacting innappropriately in response to substances

Arteriolar vascular constriction, heart rate increases, and renal retention of sodium and water all help to regulate cardial output. Ventricular dilatation is commonly seen. A large amount of ventricular myocardium is lost, contractility may be greatly compromised, and cardiogenic shock may ensue.

The Man to Send Rain Clouds is a short story based on the death of a very old man at the Pueblo Indian reservation. This results to various issues from the conflicting spiritual aspects and Christianity aspects. At the beginning of the story, the body of the old man is identified lying under a cottonwood tree in the indicant reservation. The sheep owned by the old man are scattered in all locations of the arroyo Lavine. The two men who identify the body are Leon and Ken and they manage to bring back the camp where they found the old man’s body. The story focuses on the life of individuals in Laguna, New Mexico. It is written during the 1960s when there was an interest on the indigenous cultures in America. During the period, diverse

"Fate is what you're given, destiny is what you make of it." When fate is given to you, it's how you take it that matters. When you are given wealth, do you use it wisely? When you are faced with a bad situation, do you continue to run away or take it on? Will you use your choices in vain, or for the good of everyone? Just know that your choices are yours, that if all goes wrong, the blame isn't placed on someone else. Know that you were the one who made the mistake. However, choose wisely and you may be adored. But fair warning, choices can change people, harden them, even kill ones they love. In the book The Pearl, a man named Kino is given great wealth. Its up to him to choose what to do with this wealth. His choices throughout the book change his life thoroughly, but are they affecting him negatively or positively?

Cardiogenic shock is results from damage to the heart such as a heart attack. In cardiogenic shock the heart is damaged and unable to supply a sufficient amount of blood to the body and the body cells do not receive enough oxygen (Huether & Mccance, 2012). Symptoms of cardiogenic shock are chest pain or pressure, coma, decreased urination, fast breathing, fast pulse, heavy sweating and moist skin, lightheadedness, loss of alertness and ability to concentrate, restlessness, agitation, confusion, shortness of break, skin that feels cool to touch, pale skin color or blotchy skin, and/or weak pulse (Dugdale, Cardiogenic Shock, 2012). Treatment of cardiogenic shock includes medications to increase blood pressure sucj as dobutamine, dopamine, milirione, and more. Urgent treatment includes electrical shock therapy (defibrillation or cardio version), implanting a temporary pacemaker and medications given through the vein, pain medicine, oxygen, fluids, and blood or blood products (Dugdale, Cardiogenic Shock, 2012). Cardiogenic shock