In compensated shock, derangement of vital signs, such as heart rate, respiratory rate, blood pressure, and temperature , is absent or minimal. Clinical signs at this time include pallor, tachycardia, cool peripheral skin, and prolonged capillary refill time.
How do you identify compensated shocks?
- Agitation, restlessness and anxiety.
- Altered mental status.
- Tachycardia or tachypnea.
- Change in pallor, cyanosis around the lips, or clammy skin.
- Nausea or vomiting.
- Thirst.
- Weak, thready or absent pulse.
- Narrowing pulse pressure.
Which of the following vital signs will be normal in a patient with compensated shock?
Patients in compensated shock will have an increase in heart rate and pale skin caused by vasoconstriction. Their blood pressure may be normal.
How do you assess for shock?
- Cool, clammy skin.
- Pale or ashen skin.
- Bluish tinge to lips or fingernails (or gray in the case of dark complexions)
- Rapid pulse.
- Rapid breathing.
- Nausea or vomiting.
- Enlarged pupils.
- Weakness or fatigue.
How does a child’s body usually compensate when in compensated shock?
Skin perfusion
In the shock state, the body also attempts to compensate by increasing SVR and shunting blood from the skin to more vital organs , such as the heart and brain.
What is early or compensated shock?
Phase 1 – Compensated shock
This process actually increases the blood pressure initially because there is less room within the circulatory system. The signs and symptoms of compensated shock include: Restlessness, agitation and anxiety – the earliest signs of hypoxia.
What are the 4 stages of shock?
The shock syndrome is a pathway involving a variety of pathologic processes that may be categorized as four stages: initial, compensatory, progressive, and refractory (Urden, Stacy, & Lough, 2014). Initial stage – cardiac output (CO) is decreased, and tissue perfusion is threatened.
What is the most common type of distributive shock?
Septic shock , a form of distributive shock, is the most common form of shock among patients admitted to the intensive care unit, followed by cardiogenic and hypovolemic shock; obstructive shock is rare [1,2].
What are the 3 types of shock?
- Cardiogenic shock (due to heart problems)
- Hypovolemic shock (caused by too little blood volume)
- Anaphylactic shock (caused by allergic reaction)
- Septic shock (due to infections)
- Neurogenic shock (caused by damage to the nervous system)
What shock feels like?
The symptoms of shock include cold and sweaty skin that may be pale or gray, weak but rapid pulse, irritability, thirst, irregular breathing, dizziness, profuse sweating, fatigue, dilated pupils, lackluster eyes, anxiety, confusion, nausea, and reduced urine flow.
What are the 7 types of shock?
- Hypovolemic Shock.
- Cardiogenic Shock.
- Obstructive Shock.
- Distributive Shock.
- Septic.
- Anaphylactic.
- Neurogenic.
What is shock diagnosis?
Diagnosis is clinical , including blood pressure measurement and sometimes measurement of markers of tissue hypoperfusion (eg, blood lactate, base deficit). Treatment is with fluid resuscitation, including blood products if necessary, correction of the underlying disorder, and sometimes vasopressors.
What is emotional shock?
Psychological shock is when you experience a surge of strong emotions and a corresponding physical reaction , in response to a (typically unexpected) stressful event. By thoroughly understanding this reaction before it happens, you’ll be able to recognize it and make much better decisions if/when it does.
What are the warning signs that the patient is progressing from compensated shock to hypotensive shock?
Common symptoms include tachypnea, tachycardia, low to normal blood pressure, decreased urine output, and decreased level of consciousness .
What does a child in shock look like?
Children may initially present with decreased urination , cool extremities, increased heart rate and fussiness which then progresses to poor feeding, rapid breathing, lethargy, mottled skin and absence of urination as the shock worsens. Children in any degree of shock require immediate medical attention.
Which is the most common type of shock with children?
Hypovolemic Shock
This is the most common type of shock and results from loss of fluid and blood. This often occurs in children experiencing vomiting and diarrhea, internal and external bleeding, and inadequate fluid intake.
