Question about shock

  1. Hey this is my first post- so here goes

    Which adaptation would be most indicative of shock?
    a. hyperemia
    b. hypotension
    c. irregular pulse
    d. slow respirations

    i was thinking c...what do you think? Thanks!!!
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  2. 11 Comments

  3. by   CseMgr1
    Quote from Kns124
    Hey this is my first post- so here goes

    Which adaptation would be most indicative of shock?
    a. hyperemia
    b. hypotension
    c. irregular pulse
    d. slow respirations

    i was thinking c...what do you think? Thanks!!!
    I'm thinking B, due to circulatory collapse.
  4. by   Kns124
    Thank You:hatparty:
  5. by   mitchsmom
    yep, I think it's hypotension too
  6. by   Gramme
    Quote from Kns124
    Hey this is my first post- so here goes

    Which adaptation would be most indicative of shock?
    a. hyperemia
    b. hypotension
    c. irregular pulse
    d. slow respirations

    i was thinking c...what do you think? Thanks!!!
    I vote for B as well, if the distractor C said tachycardia, then it would be a toss up between b and c, but just irregular pulse can be anything.
  7. by   liljsmom02
    i agree with B
  8. by   txdude35
    Look at the choices and it's ez to rule out the incorrect ones...
    "Irregular pulse" and "slow respirations" are too vague-they could mean anything.
    Hyperemia, an excess of blood in a particular area, doesn't occur in shock.
    That leaves hypotension, which is a cardinal sign of neurogenic shock and a decompensated state in cardiogenic and anaphylactic.
  9. by   purply_hazy
    my bet would definitely be b. shock usually involves tachycardia (not irregular as stated) and hypotension.
  10. by   golf_hawaii
    I agree with "B" and the circulatory collapse theory. I say this after almost losing a patient who was shocky. The first obvious change that she was going south was the hypotension:uhoh21:
  11. by   VickyRN
    Just remember that with pediatric patients, hypotension is not a hallmark sign of shock. Children's bodies do an amazing job of compensation and a decrease in blood pressure only occurs very late in shock, right before the child is about to crash.
  12. by   Little Panda RN
    Yep, I agree with #B also. Everything I have been learning in school about hypovolemic shock states that the signs are increased pulse (tachycardia), increased respirations and decreased blood pressure (hypotension). I believe you would notice the increased pulse and respirations first and then a drastic decrease in blood pressure.
  13. by   golf_hawaii
    Good point Vicky

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