2 Stages of Septic Shock Hyperdynamic Hypodynamic Slight hypotension Hypotension Tachypnea Tachypnea Tachycardia Tachycardia Respiratory Alkalosis Low Co and High SVR High CO and Low SVR Cool pale skin Hyperthermia(warm flushed Skin) Hypothermia Hyperglycemia Hypoglycemia
Disseminated intravascular coagulation - Clotting factors that are used up faster than they can be created - Septic shock patients are at risk! - S/S: purpura( palpable spots )Petechiae (red spots)Ecchymosis (bruising) - Bleeding from nose, gums and injection Lactic Acid - Normal level 0.5-1 (less than 2) - Higher the number less the body is perfused 26. SIRS, sepsis, severe sepsis, septic shock—what is the difference?
-What is your normal Heart rateRinger’s lactate is an isotonic solution that acts as a volume expander. Also, the lactate acts as a buffer in the presence of acidosis.Dopamine hydrochloride causes vasoconstriction that in turn increases cardiac output and mean arterial pressure,The nurse is caring for a client who has had an anaphylactic event.
- Spring '17
- mrs. Vargovich