Types of Shock

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Comparison Table on Types of Shock

  Hypovolemic Cardiogenic Neurogenic Anaphylactic Septic
Pathophysiology  

 

 

       
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Nursing Diagnosis  

 

 

       
Interventions:

 

 

 

 

 

 

 

 

 

       
Patient Teaching

(for prevention)

 

 

 

 

 

 

 

       

Types of Shock

Comparison Table on Types of Shock

Characteristic Hypovolemic Cardiogenic Neurogenic Anaphylactic Septic
Pathophysiology Insufficient blood volume due to loss of fluids (e.g., bleeding) Inadequate cardiac function (e.g., heart attack) Disruption of autonomic nervous system (e.g., spinal cord injury) Severe allergic reaction causing widespread vasodilation Systemic infection leading to a cascade of inflammatory responses
Causes Hemorrhage, dehydration, trauma, surgery Myocardial infarction, heart failure Spinal cord injury, nerve damage Allergic reactions to allergens (e.g., bee stings, food) Bacterial, viral, or fungal infections
Signs/Symptoms – Rapid weak pulse
  • Hypotension
  • Rapid shallow breathing
  • Cool, clammy skin | – Chest pain
  • Shortness of breath
  • Fatigue
  • Cyanosis (bluish skin) | – Bradycardia (slow heart rate)
  • Hypotension
  • Loss of bladder/bowel control
  • Poikilothermia (inability to regulate body temperature) | – Difficulty breathing
  • Swelling of face and throat
  • Hives
  • Rapid pulse
  • Hypotension | – Fever
  • Increased heart rate
  • Warm, flushed skin
  • Altered mental status | | Nursing Diagnosis | – Deficient Fluid Volume
  • Ineffective Tissue Perfusion | – Decreased Cardiac Output
  • Impaired Gas Exchange | – Ineffective Tissue Perfusion
  • Risk for Autonomic Dysreflexia | – Risk for Anaphylaxis
  • Impaired Gas Exchange | – Risk for Infection
  • Sepsis | | Interventions | – Administer intravenous fluids
  • Monitor vital signs
  • Control bleeding (if applicable) | – Administer medications (e.g., vasodilators, diuretics)
  • Monitor ECG
  • Oxygen therapy | – Maintain spinal precautions
  • Monitor for autonomic dysreflexia
  • Administer medications (e.g., vasopressors) | – Administer epinephrine
  • Maintain airway
  • Administer antihistamines and corticosteroids | – Administer antibiotics
  • Monitor vital signs
  • Source control (e.g., drainage of abscess) | | Patient Teaching | – Maintain hydration
  • Recognize signs of bleeding
  • Seek medical attention for severe injuries | – Medication management
  • Recognize signs of worsening heart condition
  • Follow dietary restrictions | – Prevent falls and injuries
  • Maintain proper skin care
  • Monitor for autonomic dysreflexia triggers | – Identify allergens and allergen avoidance
  • Carry an epinephrine auto-injector
  • Seek immediate medical help for severe allergic reactions | – Infection prevention (e.g., handwashing)
  • Seek medical attention for signs of infection
  • Follow prescribed antibiotics and treatment plans |
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