Central Mindanao University

College of Nursing
Annie Flor S. Macabugto, BSN IV
Emergency Disaster Nursing
Cardiogenic Shock Hypovolemic Shock Neurogenic Shock Septic Shock Anaphylactic
Shock
Definition A type of shock
Occurs when the
heart has an
impaired pumping
ability
May be of
coronary or non-
coronary event
origin
A type of shock
Occurs where
there is a decrease
in the intravascular
volume
A type of shock
Caused by
alterations in
vascular smooth
muscle tone
Caused by
either nervous
system injury or
complications
Associated with
medications
such as epidural
anesthesia
A type of shock
Caused by an
infection
A type of shock
Caused by a
hypersensitivity
reaction
Signs &
Symptoms
pain of angina
dysrhythmias
hemodynamic
instability
hypoxemia
Altered level of
consciousness
delayed
capillary refill

hypoxemia
Altered LOC
delayed
capillary refill
Tachycardia
Tachypnea


Hypoxemia
Altered LOC
delayed
capillary
refill
dry, warm
skin
moist skin
hypotension
bradycardia

fever
tachycardia
tachypnea
PaCO
2
< 32
mmHg
WBC count >
12,000
cells/mm
3
,

<
4,000
cells/mm
3
, or >
10% immature
WBC (bands)
Oliguria
Altered LOC
Thrombocytope
nia
hypoxemia
Altered
LOC
delayed
capillary
refill

Central Mindanao University
College of Nursing
Annie Flor S. Macabugto, BSN IV
Emergency Disaster Nursing
Hypoxemia
delayed
capillary refill
Drugs/
Medications
Dobutamine
Nitroglycerin
Dopamine
Other
vasoactive
medications
Antiarrhythmic
medications
IV fluids
IV fluids
(PNSS and
Lactated
Ringers
Solution
Insulin
Desmopressin
antidiarrheal
drugs
Heparin
insulin
IV fluids
broad-spectrum
antibiotic
agents
third generation
cephalosporin
plus
aminoglycoside
human
activated
protein C
(rhAPC)
APC ,
drotrecogin alfa
(Xigris)
acetaminophen
Epinephrin
e
Diphenhyd
ramine
Albuterol
IV fluids
Treatment &
Procedures
Oxygen
Administration
Pain Control (IV
Morphine
Sulfate)
Hemodynamic
Monitoring
Laboratory
Marker
Monitoring
(BNP, CPK-MB
and cTn-1, 12-
Blood
Transfusion
Oxygen
Administratio
n
I & O
Monitoring
Monitoring of
Vital signs,
arterial blood
gases,
hemodynamic
Elevation of
the head of
the bed (30
degrees)
Immobilizati
on
Application
of elastic
stockings
Elevating
foot of the
bed
All procedures
should have
aseptic
technique
Oxygen
Administration
Monitoring of
blood levels
Monitoring on
hemodynamic
status
I & O
CPR
Endotrache
al
intubation
tracheoto
my
Central Mindanao University
College of Nursing
Annie Flor S. Macabugto, BSN IV
Emergency Disaster Nursing
lead ECGs) pressure,
serum lactate
levels,
hemoglobin
and
hematocrit
levels
Passive
ROM
monitoring
Daily weights