We go numb. Non-progressive:(compensated stage) Attempt to correct the metabolic upset of shock. This preview shows page 1 - 2 out of 2 pages. You may deny the reality of the loss at some level, in order to avoid the pain. Inadequate perfusion to meet tissue demands.A progressive process. They are fascinated by … a systolic blood pressure less than 90 mmHg or a mean arterial pressure [MAP] less Wildlife does present in irreversible stages of shock and will die, despite the best efforts of the carer and veterinarian. They have spent the last several years working toward this goal and it is finally happening! ¾. Compensatory – VS are maintained ... Blunt trauma – mimics septic shock more than hypovolemic (↓SVR) Blood Loss Classes. Stages of Culture Shock Stages 1: The Honeymoon When your student first arrives at college they may experience the honeymoon phase. 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 Culture Shock Stages 1: The Honeymoon When your student first arrives at college they may experience the honeymoon phase. Life makes no sense. 23. 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 "The 7 Stages of Grief": 7 Stages of Grief... 1. 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 try to find a way to simply get through each day. What is shock? 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). 24 24. Refractory : Organs fail and the shock can no longer be reversed. They have made it! Shock provides emotional protection from being overwhelmed … The degree and consequences of hypotension vary with the adequacy of physiologic compensation and the patient’s underlying diseases. Everything is new and exciting. Stages of Shock. 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. They have made it! Similarly, not all patients with “low” blood pressure have shock. 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) Denial and shock help Thus sensible intervention is likely to be successful in those animals in compensated and early decompensated s hock. Blood pressure is not always low in the early stages of shock (although hypotension eventually occurs if shock is not reversed). In this stage, the world becomes meaningless and overwhelming. SHOCK & DENIAL-You will probably react to learning of the loss with numbed disbelief. We are in a state of shock and denial. Occurs in 2% of hospitalized patients. Stages of shock Initial : The cells become leaky and switch to anaerobic metabolism. Stages of shock nursing NCLEX review for nursing students! A shift to less-efficient anaerobic metabolism, leading to lactic acidosis, We wonder how we can go on, if we can go on, why we should go on. 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. Progressive: (decompensated stage ) Eventually the compensation will begin to fail. This first stage of grieving helps us to survive the loss.