Question

Shock is a clinical syndrome that is a result of inadequate tissue perfusion that creates 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, cardiogenic shock, and heart failure.

Because heart failure can be a chronic condition, identify a priority teaching intervention for the patient with a new diagnosis of heart failure.

Answer 1

Answer:

Shock is a clinical syndrome that is a result of inadequate tissue perfusion that creates 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.

The nursing management for hypovolemic shock includes immediate transfusion of blood for the control of bleeding. It also includes oxygen therapy.

The nursing management for cardiogenic shock includes administration of cardiac drugs, oxygen therapy. In this case heart rate can be increased by providing medicines like dopamine, epinephrine and nor-epinephrine.

The nursing management of heart failure includes increment of patient activity based on the tolerance and controlling anxiety, managing fluid volume.

Despite advances in the treatment of HEARTFAILURE, morbidity and mortality remains high. Nurses have a major impact on outcomes for patients with heart failure. The nursing assessment for the patient with heart failure includes observation of effectiveness of therapy and for the patients ability to understand and implement self-management strategies.