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Shock Talk
Views: 15179 - Comments: 8
Megan Brashear, CVT, VTS(ECC), discusses the different causes of shock in patients and how to recognize, treat, and monitor patients experiencing shock.
This talk is specifically RACE-approved for one Technician CE credit.
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Megan Brashear
CVT VTS(ECC)
Enrolled: 07/2011
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Video skipped from about the 8 minute mark to the end.
Great talk, Megan!. I enjoyed it, learned a lot and felt you did a great job of explaining some difficult concepts.
Kathy D.
Really nicely done, Megan. I took a plethora of notes and will recommend this topic for our staff. Are there any downsides (CNS depression, e.g.) to administering opioids for pain management to a patient in shock? Also, do you administer the opioid IV (in particular, hydro)? Thanks! Janine
Janine, opioids do have an effect on patients in shock (like CNS depression, mild CV effects, possibly panting) but not enough that we would not want to use them if the patient condition requires pain management. Continue to monitor and support and it is rare that I have had to reverse opioids because of failing patient vitals. At DoveLewis we usually administer the entire dose IV, depending on doctor preference. I have certainly done half IV/half IM or all IM on some cases, in the shock patient remember that their perfusion is probably not great so the SQ route is not ideal. Glad you enjoyed it, shock is one of my favorite topics to talk about.
What would you do differently in a patient with cardiogenic shock? In regards to fluids and treatments.
Hi Amber! In cardiogenic shock we want to be more conservative with our fluid therapy in order to not put an added strain on the heart. Since we are less likely to bolus fluids we are quicker to start a presser (like norepinephrine, dopamine, or dobutamine) in cases that have repeatably low blood pressures. Hopefully that helps :)
Is there literature to support the statement that the systolic pressure is >90mmHg if the dorsal pedal pulse is palpable?
Is there literature to support the statement that the systolic pressure is >90mmHg if the dorsal pedal pulse is palpable?