MANAGEMENT OF SHOCK: IMMEDIATE MANAGEMENT

REQUIREMENTS #

1. Tray for IV line
   1. Large bore IV cannula
   2. Gallipot
   3. Cotton wool swabs
   4. Receiver
2. Tray for vital signs
3. Oxygen apparatus
4. Pulse oximeter
5. Torch light
6. Blood sample bottles
7. IV fluids (Ringer’s Lactate or Normal Saline)
8. Airway
9. Ambu bag 10. Oxygen face mask/Nasal prongs
10. Glucometer with strips
11. Lancet
12. Emergency drug
    1. Antihistamine
    2. Epinephrine
    3. Adrenalin
    4. Uterotonic drug
    5. Magnesium sulphate
    6. Antihypertensive drug
13. Blood volume expanders
14. Sterile gauze swabs
15. Speculum
16. Swab holding forceps
17. Patella Hammer
18. Suction Apparatus

STEPS #

1. Call for immediate help
2. Provide privacy
3. Place client in appropriate position and elevate foot end of the bed to increase return of blood to the heart
4. Perform rapid general assessment using ABCDE
5. Assess the level of consciousness
6. Perform Cardiopulmonary Resuscitation
7. Administer of oxygen via facemask or nasal prong
8. Check vital signs and record
9. Check random blood sugar and record
10. Assess clotting status using the bedside clotting test
11. Take full clinical history from clients or any relative/significant others
12. Communicate with client or relative and reassure them of recovery
13. Set IV line and take blood sample for investigations
14. Administer prescribed medications that would aid resuscitation
15. Start administration of isotonic fluids
16. Keep client warm in bed by adding extra sheet and blanket
17. Keep client secured in bed by drawing up side rails
18. Pass indwelling catheter connect to urine bag and monitor accurate intake and output
19. Identify the cause of shock base on history and physical assessment