The most common form of SHOCK

[MM2007]

Hello, what type of shock would you classify as the most common ? ideally i would say "Anaphylaxis" but i am unsure.

Thanks.

[UM Review RN, ASN, RN]

Personally, I'd guess "hypovolemic." Wikipedia supports it.

http://en.wikipedia.org/wiki/Shock_%28medical%29

[CritterLover, BSN, RN]

personally, i'd guess "hypovolemic." wikipedia supports it.

http://en.wikipedia.org/wiki/shock_%28medical%29

:yeahthat:

i actually think that anaphylactic shock is one of the less common forms of shock.

i see way more hypovolemic shock, and more septic shock, too.

[leosrain, BSN, RN]

On my surgical floor we mostly see hypovolemic shock. I have also seen a lot of septic shock...

I would guess anaphalactic shock is rare...as I have never seen it.

[oMerMero]

I have to vote for septic shock.

[shellsincanada]

I'd say hypovolumic but personally I have seen way more septic shock( I deal with lots of wound care - in home care with non compliant people who have nasty infected wounds among other reasons) I don't see many bleeds as much.

[jamminworld]

I have seen mainly septic shock.

[Medic/Nurse, BSN, RN]

Shock = inadequate perfusion.

CHECK for cause?

Volume

Rate

Pump

** IF you use this (meaning think through it - to get to the cause), you can get there (meaning how to treat the patient).

Most COMMON:

Hypovolemia, due to all causes

Septic

Cardiogenic

Anaphylaxis

Neurogenic

I was working one night when another RN (limited experience) came running to me, "Come and check my patient?" "He's in shock!" I went to try and help. SHOCK - Well, no. He had been left on a Propac and had several low BP readings - felt fine, heart rate normal RRR, respiratory status without compromise, no other issue found. MANUAL BP was 112/74 (cuff on the auto had become twisted). LESSON: Treat the patient, not any monitor.

And when you are the one that is near panic, a deep breath is in order.

I taught her the Volume, Rate, Pump process - saw her recently (she was on a MS floor 5 years ago, when this happened) and she is a GREAT ER nurse! She remembered the VRP decision tree - so I guess it does work for her too!

Practice SAFE!

[cardiacRN2006, ADN, RN]

On my surgical floor we mostly see hypovolemic shock. I have also seen a lot of septic shock...

I would guess anaphalactic shock is rare...as I have never seen it.

I agree with this. I see septic shock all the time! But have only seen anaphylactic shock once.

[TazziRN, RN]

Nearly 19 years in the ER and I have seen ONE case of anaphylactic shock. Most common are septic, hypovolemic, and cardiogenic.

[Roy Fokker, BSN, RN]

I've seen mostly hypovolemic.

Especially since a lot of the patients we see these days are the elderly (already dehydrated. Plus tend not to drink enough fluids.)

See one anaphalactic.

No septics.

cheers,

[jill48, ASN, RN]

I would put my money on hypovolemic.