Everything is new and exciting. They have made it! Shock Trail • Primary cause of Cardiogenic Shock 74.5% left ventricular failure 8.3% severe mitral insufficiency 4.6% ventricular septal rupture 3.4% isolated right ventricular failure 1.7% tamponade or cardiac rupture 8% other causes We try to find a way to simply get through each day. Progressive: (decompensated stage ) Eventually the compensation will begin to fail. We are in a state of shock and denial. Mortality 10% in children (without MODS), vs. 30-40% in adults.1,2 In other words, a systemic reduction in tissue perfusion decreased tissue O2 delivery. Similarly, not all patients with “low” blood pressure have shock. Thus sensible intervention is likely to be successful in those animals in compensated and early decompensated s hock. Stages of Culture Shock Stages 1: The Honeymoon When your student first arrives at college they may experience the honeymoon phase. Occurs in 2% of hospitalized patients. After reviewing these notes, don’t forget to take the quiz that contains stages of shock NCLEX questions and to watch the lecture. Stages of Shock. Life makes no sense. Shock provides emotional protection from being overwhelmed … 24 24. This first stage of grieving helps us to survive the loss. 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) • Usual signs used to assess shock include • BP (varies with age and health status of pt) They have spent the last several years working toward this goal and it is finally happening! Inadequate perfusion to meet tissue demands.A progressive process. They are fascinated by … You may deny the reality of the loss at some level, in order to avoid the pain. They have made it! Stages of shock Initial : The cells become leaky and switch to anaerobic metabolism. With a contemporary understanding of the disease and new evolving technology, the emergency physician can recognize shock at an earlier stage and initiate expert, timely intervention. Wildlife does present in irreversible stages of shock and will die, despite the best efforts of the carer and veterinarian. a systolic blood pressure less than 90 mmHg or a mean arterial pressure [MAP] less Refractory : Organs fail and the shock can no longer be reversed. The degree and consequences of hypotension vary with the adequacy of physiologic compensation and the patient’s underlying diseases. SHOCK & DENIAL-You will probably react to learning of the loss with numbed disbelief. ¾. Compensatory – VS are maintained ... Blunt trauma – mimics septic shock more than hypovolemic (↓SVR) Blood Loss Classes. Denial and shock help 23. Key Words: Shock, hypovolaemic shock, cardiogenic shock, intra-aortic balloon pump, acute myocardial infarction Shock, or cardiovascular collapse, is a clinical condition diagnosed in the presence of: • hypotension (i.e. We go numb. Stages of shock nursing NCLEX review for nursing students! Stages of Culture Shock Stages 1: The Honeymoon When your student first arrives at college they may experience the honeymoon phase. What is shock? In this stage, the world becomes meaningless and overwhelming. Blood pressure is not always low in the early stages of shock (although hypotension eventually occurs if shock is not reversed). This preview shows page 1 - 2 out of 2 pages. "The 7 Stages of Grief": 7 Stages of Grief... 1. We wonder how we can go on, if we can go on, why we should go on. Shock progresses from a compensated stage, to decompensation and then becomes irreversible. In this review you will learn about the stages of shock (initial, compensatory, progressive, and refractory). Non-progressive:(compensated stage) Attempt to correct the metabolic upset of shock. A shift to less-efficient anaerobic metabolism, leading to lactic acidosis,