Question

ue duly 31 St PN 200L Fundamental of Nursing II Lab Case Study 3: Hypovolemic Shock Date Name Ms. K.W., is a 21- year-old university coed, was rushed to the emergency room minutes after being stabbed multiple times in the chest and abdomen by unidentified assailant. A witness telephoned 911. Paramedics arriving at the scene found the victim conscious but in sever distress. Vital signs were obtained and the results are: HR 128 (baseline 80), 80/55 (baseline 115/80), RR 37 and labored. Chest auscultation revealed decreased breath sounds in the right lung consistent with basilar atelectasis collapsed lung). PERRLA within normal limits. Her LOC (level of consciousne eported as "awake, slightly confused, and c/o severe chest and abdominal .W. also had absent pedal pulses, weak radial pulses, and palpable caroti ulses. She was immediately started on intravenous Lactated Ringer's solu ate of 150 mL/hr. e acu ient Case Question 1. With two words, identify the specific type of ovolemic shock in this patient. KG monitor placed at the scene of the attack revealed that the pat loped sinus tachycardia (ST). She was tachpneic, became short of rsation, and reported that her heart was "pounding in her chest.

Answer 1

There are four types or stages of hypovolemic shock .The patient is in "Stage 4" hypovolemic shock.

The typical symptoms are

• Extreme or very low systolic pressure (80/55)
• Very rapid heart rate(128)
• Rapid respiratory rate(37)
• Weak pulse or absent pulse
• Sweeps in and out of consciousness