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Hypovolemic Shock Concept Map

This document provides a concept map about hypovolemic shock. It includes assessments like vital signs and lab tests to check for signs of blood loss. Nursing diagnoses could include deficient fluid volume or decreased cardiac output. Treatment involves aggressive fluid resuscitation through intravenous fluids, blood transfusions, and vasoconstrictors. Nursing interventions focus on minimizing fluid loss, administering volume replacement, and monitoring the patient's response to therapy.

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JM Asentista
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1K views1 page

Hypovolemic Shock Concept Map

This document provides a concept map about hypovolemic shock. It includes assessments like vital signs and lab tests to check for signs of blood loss. Nursing diagnoses could include deficient fluid volume or decreased cardiac output. Treatment involves aggressive fluid resuscitation through intravenous fluids, blood transfusions, and vasoconstrictors. Nursing interventions focus on minimizing fluid loss, administering volume replacement, and monitoring the patient's response to therapy.

Uploaded by

JM Asentista
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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LEGEND
HYPOVOLEMIC SHOCK CONCEPT MAP  ASSESSMENT  NURSING DIAGNOSIS

ASSESSMENT PHARMACOLOGICAL MANAGEMENT


-Assess Vital signs LABORATORY AND DIAGNOSTIC TEST
-Assess mental status TREATMENT LAB/DIAGNOSTIC TEST
-Determine the mechanism of injury and any information that may heighten suspicion of -Blood testing
  -CT scan or ultrasound
certain injuries.
-Echocardiogram NURSING INTERVENTIONS
-Assess peripheral pulses
-Monitor Urinary Output -Electrocardiogram
- Assess for: -Endoscopy
abdominal pain blood in the stool black, tarry stool (melena), blood in the urine, vomiting -Right heart catheterization
blood, chest pain and abdominal swelling

NURSING DIAGNOSIS TREATMENT


-Deficient Fluid Volume related to active blood loss MEDICAL
-Deficient Fluid Volume related to interstitial fluid shift -Fluid administration (Intravenous crystalloids)
-Decreased Cardiac Output related to alterations in preload - Aggressive fluid resuscitation
-Imbalanced Nutrition: Less Than Body Requirements related to - Blood transfusion
increased metabolic demands or lack of exogenous nutrients - Blood plasma transfusion
-Risk for Infection -Platelet transfusion
-Red blood cell transfusion

NURSING INTERVENTIONS PHARMACOLOGICAL


Minimizing fluid loss, administering volume replacement, assessing response to therapy, providing -Vasoconstrictors
comfort and emotional support, and preventing and maintaining surveillance for complications. -Vasodilators
Measures to minimize fluid loss include limiting blood sampling, observing lines for accidental - Antidysrhythmics
disconnection, and applying direct pressure to bleeding sites. - Inotropes
Measures to facilitate the administration of volume replacement include insertion of large-bore
peripheral intravenous catheters, rapid administration of prescribed fluids, and positioning the patient SURGICAL
with the legs elevated, trunk flat, and head and shoulders above the chest. - Radiographically guided percutaneous intervention (IR)
Monitoring the patient for clinical manifestations of fluid overload or complications related to fluid and
blood product administration is essential for preventing further problems. ALTERNATIVE

Prevent further injury, transport the patient to the hospital


as rapidly as possible, and initiate appropriate treatment in
the field. Direct pressure should be applied to external
bleeding vessels to prevent further blood loss.

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