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Treatment and interventions are usually based on the cause of the shock. Most of them are caused by either vasodialation or fluid loss that causes lowered Cardiac Output.

For Hypovolemic, you would want to focus on increasing Cardiac Output by giving positive inotropes like dobutamine, dopamine, and also replacing fluids (Using only NS and LR; never D5W; it will only exacerbate the possible lactic acidosis). Also, you would replace what the patient lost (plasma, RBC, etc.)

For neurogenic, it is a wide-spread loss of sympathetic nervous system tone, so you would focus on vasoconstriction with medications like Norepinepherine and Dopamine.

With anaphylatic shock, epinepherine is the choice drug and removing exposure to the allergen.

Cardiogenic is slightly different. It is caused from a mechanical problem in the heart. Causes could by an acute MI, cardiomyopathies, and dysrrhythmias. Treatment is focused on treating the underlying cause. You would give dopamine to correct the decreased Cardiac Output. With cardiogenic shock, however, there is increased Left Ventricular work-load. The focus would also be in correcting this by decreasing the work-load; Nitroglyerine or Nitroprusside is given along with the positive inotrope.

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14y ago
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14y ago

1. Elevate the legs of the person by placing pillow below the feet or if in a hospital setting place the client in trendelenburg position.
2. promote client's safety
3. monitor Vital sign's
4. promote client's comfort
5. administer drug(s) as ordered by the physician
-------Rupinder Singh---Philippines----

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8y ago

When you suspect a patient is hypoglycemic and they are alert administer liquids that contain glucose (ex. Orange Juice). If there is a decreased level of consciousness you would want to administer a bolus with dextrose. If there is no IV access then administer glucose gel under the patient's tongue. If none of the above interventions work provide an IM injection of glucagon or epinephrine.

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9y ago

Some nursing interventions for HTN change diet(DASH) cut out sodium, atleast exercise for 1/2hour each day

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11y ago

what are 2 nursing intervention of hypertension

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9y ago

You have to somehow increase sugar intake. Either by mouth of by IV.

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7y ago

Leg up position and monitor BP

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11y ago

milk

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Q: Nursing interventions for high blood pressure?
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