Caring for a Client who is Experiencing Hypovolemic Shock

University:
Texas Southern University
Course:
Biology 1407 | Biology for Science Majors II
Academic year:

2025
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0

Pages:

1
Author:

customer-8170200

ACTIVE LEARNING TEMPLATE: System Disorder Jatyra Williams STUDENT NAME______________________________________ Caring for a Client who is Experiencing Hypovolemic Shock DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________ Alterations in Health (Diagnosis) A decrease in intravascular volume of at least 15%-30% Pathophysiology Related to Client Problem Reduction in effective tissue perfusion causing imbalance of oxygen supply and demand, anaerobic metabolism, lactic acidosis, cellular and organ dysfunction Health Promotion and Disease Prevention Drink plenty of fluids when exercising or when in hot weather ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Excess fluid loss from diuresis. vomiting, or diarrhea; or blood loss secondary to surgery, trauma, gynecologic/obstertric causes, burns, and dabetic ketoacidosis Laboratory Tests HGB & HCT decreases with hemorrhage, increased with dehydration 1.) CVP decrease. 2.) Wheezing 3.) Tachycardia 4.) Decrease urine output 5.) Seizures Diagnostic Procedures 1.) Arterial line insertion 2.) Pulmonary artery catheter insertion PATIENT-CENTERED CARE Nursing Care 1.) Monitor vital signs, urine output, LOC,& skin assessment. 2.) Administer high-flow O2 3.) IV access 4.) Prepare for intubation Therapeutic Procedures Goal is to increase the amount of fluid voume in the body using fluid replacement ACTIVE LEARNING TEMPLATES 1.) Standard precautions 2.) Fall risk 3.) Electrolyte imbalance Complications Medications 1.) Inotropic agents (dobutamine) 2.) Vasopressors (norepinephrine) 3.)Opioid Analgesics (Morphine Sulfate) 4.)Proton-pump inhibitors (Pantoprazole) 5) Anticoagulants (Heparin) Client Education 1.) Modified trendelenburg position. 2.) Explain possibilities of complications to recovery. Interprofessional Care 1.) Respiratory therapy 2.) Cardiologist. 1.) Multiple organ dysfunction syndrome (MODS) 2.) Disseminated intravascular coagulatoin (DIC)