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
11. Glucometer with strips
12. Lancet
13. Emergency drug
· Antihistamine
· Epinephrine
· Adrenalin
· Uterotonic drug
· Magnesium sulphate
· Antihypertensive drug
14. Blood volume expanders
15. Sterile gauze swabs
16. Speculum
17. Swab holding forceps
18. Patella Hammer
19. Suction Apparatus
Steps
1. Reassess the client conditions of signs of improvement
2. Continuing monitoring of vital signs and note any deviations
3. Carry out radiological and other investigations after client is stable
4. Monitor intake and output
5. Administer prescribed drugs
6. Manage according to WHO/GHS protocol if the cause of shock is bleeding or infection
7. Communicate the progress of client to family or significant others
8. Seek or refer management if client condition fails to improve or stabilize
9. Maintain Infection, Prevention and Control measures throughout management
10. Record and report all information in the Maternal and Child Health Book (Manual or Electronic)
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