Anaphylaxis

Anaphylaxis
Signs & Symptoms
stages of shock
Intital
Compensatory
Progressive
Refractory
body systems
Renal
decreased urine output
Cardiovascular
decreased cardiac output
Neurologic
alteration in mental status
Pulmonary
hypoxia
Pathophysiology
Low Blood Flow
Cardiogenic Shock
Hypovolemic Shock
Maldistribution of Blood Flow
Neurogenic Shock
Anaphylactic Shock
Septic Shock
Nursing
Oxygen and Ventilation
Fluid Resuscitation
Isotonic solutions
Hypertonic solutions
Blood/Bood Products
Colloids
Drug Therapy
Sympathomimetics
epinephrine (Adrenalin)
Vasodilators
nitroglycerin (Tridil)
nitroprusside (Nipride)
Vasopressors
norephinephrine (Levophed)
dopamine (Intropin)
Antibiotics?
Inotropics
dobutamine (Dobutrex)
dopamine (Intropin)
Anticoagulation?
Nutritional Therapy
Enteral
Parenteral
Circulation
IABP
Diagnostics
Lab
CBC
Cultures
Blood
Urine
Sputum
ABG's
DIC screen
Ptt and PT
platelet count
BUN and creatinine
glucose
electrolytes
Na+, K+
liver enzymes
ALT, AST, GGT
urine
specific gravity
CXR
12lead EKG
Nursing Diagnoses
Inneffective tissue perfusion r/t
low blood flow
maldistribution of blood
Fear r/t
Collaborative Care
Early Recognition
Correct the underlying cause
Prevent organ dysfuntion
Multisystem supportive care
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