Question

Shock is a clinical syndrome that is a result of inadequate tissue perfusion that creates an imbalance between the delivery of and the requirements for oxygen that support cell health. Signs and symptoms of excess fluid volume or inadequate tissue perfusion characterize heart failure.

Address the Following:

Describe the differences in the nursing management for hypovolemic shock, cardiogenicshock, and heart failure.

Answer 1

S.NO	HYPOVOLEMIC SHOCK	CARDIOGENIC SHOCK	HEART FAILURE
1	Severe blood and fluid loss makes the heart unable to pump enough blood to the body and causes many organs from stop working.	It is a disease state where the heart is damaged enough and unable to supply enough blood to body.	It is a state where heart no longer works and stops pumping blood.
2	Symptoms are anxiety,restlessness,dry mouth,hypotension,fatigue	Tachyarhythmia,increases jugular venous pressure,hypotension etc.	Fatigue,weakness,swelling in legs,arms ,persistent cough or wheezing,shortness of breath.
3	Give supplementary oxygen therapy for replacement of fluids.	Cardiac drug administration is helpful.	diuretics and cardiac medications for therapy.
4	Prevention by staying fit and doing physical exercises.	Eating healthy food and managing stress.	avoid smoking.
5	Angiography and ultrasound.	Electrophysiology and blood tests.	diagnosis by ultrasound and Xray