Distributive Shock Case Study

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.

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

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.

He became trapped inside his car, sustaining abrasions to his face, forehead and temple, as well as lacerations to his left thigh. By the time the ambulance arrived, he had lost a litre of blood and bruising developed on both thighs, presumably from being crushed. Upon arrival at the hospital, the patient's extremities were cold, he was semicomatose, his blood pressure was low, and he was experiencing tachycardia. All of these signs, and the large loss of blood were indicators the patient could go into hypovolemic shock. Therefore, 3L of saline was administered to manage his condition.

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.

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,

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

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

Shock is a life-threatening condition with a variety of underlying causes. Shock is caused when the cells have a lack of adequate blood supply and are deprived of oxygen and nutrients. In cases of shock, blood is shunted from peripheral areas of the body to the vital organs. Hemorrhage and decreased blood volume are associated with some, but not all, types of shock.

Venkataraman, Ramesh, and Michael R. Pinsky. "Toxic Shock Syndrome." Medscape. 16 July 2010. Web. 17 Oct. 2011. <http://emedicine.medscape.com/article/169177- overview>.

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.

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

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

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

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.