Component Task: Management of Shock: Immediate Management

This is an emergency or urgent care rendered by the nurse/midwife to a client/mother to avert or restore a condition where the circulatory system cannot provide adequate blood supply to vital organs of the body.

Aims

·         Improve blood supply to vital organs in the body

·         Prevent irreversible organ damage

·         Replace fluids and electrolytes

·         Identify the cause and manage it

·         Prevent anaerobic metabolism in the tissue

·         Offer appropriate supportive care

Requirements

1.        Tray for IV line

·         Large bore IV cannula

·         Gallipot

·         Cotton wool swabs

·         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

·         Antihistamine

·         Epinephrine

·         Adrenalin

·         Uterotonic drug

·         Magnesium sulphate

·         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

0 Comments

Search This Blog