Management of Shock

Subject: Midwifery I (Theory)

Overview

Shock is a potentially fatal disorder that necessitates prompt and extensive treatment and cares in order to save the patient's life. The first line of treatment for a shock sufferer is stabilization. Shock symptoms include a quick and weak pulse rate, low blood pressure, pallor, clamminess, cold, and sweating, as well as unconsciousness and anxiety. The cause of shock is blood loss, and hemorrhage should be managed immediately. To begin, ensure that the patient's airway is open and clear, monitor vital signs often, and maintain the patient's head on one side to prevent aspiration. Provide 6-8 liters of oxygen per minute via a mask or nasal cannula.

Shock is a potentially fatal disorder that requires rapid and extensive treatment and cares in order to save the patient's life. A patient who is in shock requires quick management and therapy. Stabilization is the first step in treating a shock sufferer.

Signs and Symptoms

The pulse rate is both fast and weak.
Blood pressure is low (90/70mmHg).
Pallor
Clammy, chilly, and perspiring
Tachypnea
Anxiety and unconsciousness

Management

Ascertain that the patient's airway is open and clear.
Examine the overall vital signs on a regular basis.
Keep the patient's head on one side to avoid aspiration of stomach contents.
Do not feed anything to the woman by mouth since she may vomit and inhale or aspirate the vomit.
Keep the woman warm, but don't overheat her.
Provide 6-8 liters of oxygen per minute via a mask or nasal cannula.
Maintain the patient in a supine position with legs elevated or the head lowered to aid in the blood return to the heart.
Begin an intravenous infusion of ringer lactate or isotonic normal saline right away, using a large-bore needle, and take blood samples for hemoglobin and hematocrit, as well as cross-match, the Rh factor.
If the hemoglobin level is less than 5g/100ml and the hematocrit level is less than 15%, a blood transfusion is required.
Examine the vaginal speculum for blood loss and remove the retained product of conception.
Catheterized the patient and recorded total input and output.
Medication
- Antibiotics should be administered intravenously or intramuscularly to begin.
- Tetanus toxoid should be administered if the woman's immunization history is unknown.
Determine the source of the shock and manage it accordingly. Shock is caused by blood loss, and hemorrhage should be managed immediately.

References

HealthLine. 2005. 2017 http://www.healthline.com/symptom/shock
Mayo Clinic. 1998. 31 March 2015 http://www.mayoclinic.org/first-aid/first-aid-shock/basics/art-20056620
Postabortion care, a reference manual for improving quality of care, USAID/Nepal, FHD, HMG
MedicineNet. 1996. 2017 http://www.medicinenet.com/shock/page2.htm
Tuitui R. 2002, A textbook of Midwifery A (Antenatal), 3rd edition, Vidyarthi Pustak Bhnadar (Publisher and Distributor), Bhotahity, Kathmandu
Medline Plus. 05 January 2017 https://medlineplus.gov/ency/article/000039.htm

Things to remember

Shock is a potentially fatal disorder that requires rapid and extensive treatment and cares in order to save the patient's life.
A patient who is in shock requires quick management and therapy. Stabilization is the first step in treating a shock sufferer.
Shock symptoms include a rapid and weak pulse rate, low blood pressure, pallor, clamminess, coldness, and sweating, as well as unconsciousness and anxiety.
Determine the source of the shock and manage it accordingly.
Shock is caused by blood loss, and hemorrhage should be managed immediately.
To begin, ensure that the patient's airway is open and clean. Next, monitor vital signs often and keep the patient's head on one side to prevent aspiration.
Give 6-8 liters of oxygen per minute through a mask or nasal cannula.
Begin an intravenous infusion of ringer lactate or isotonic normal saline right away, using a large-bore needle, and take blood samples for hemoglobin and hematocrit, as well as cross-match, the Rh factor.
If the hemoglobin level is less than 5g/100ml and the hematocrit level is less than 15%, a blood transfusion is required.

Questions and Answers

Define shock.

Shock is a potentially fatal disorder that requires rapid and extensive treatment to save the patient's life. A patient who is in shock has to be managed and treated right away. Stabilization is the first step in treating a shock sufferer.

What are the management of shock ?

Management

Ensure that the patient's airway is open and unobstructed.
regularly check your vital indicators in general
To prevent aspiration of stomach contents, keep the patient's head tilted to one side.
Never give the lady anything by mouth because she can vomit and aspirate or inhale the vomit.
Warm her up, but don't overheat her
Give 6 to 8 liters of oxygen per minute using a mask or nasal cannula.
Maintain the patient's supine position with the head or legs down to promote blood flow to the heart.
With the aid of a large bore needle, begin an intravenous infusion of ringer lactate or isotonic normal saline right away. Blood samples are then taken for analysis of hemoglobin and hematocrit as well as cross-matching and the Rh factor.
If the hematocrit and hemoglobin levels are 15% or less, a blood transfusion is necessary.
To determine the amount of blood loss and to remove the retained fetus, perform a vaginal speculum exam.
Catheterize the patient, then monitor and log their entire input and output.