What are the nursing measures for patients in shock

If patients in shock want to improve their quality of life, nurses must provide good care for them. Only when these aspects are done more thoroughly can patients in shock improve their quality of life through correct care. The following content introduces in detail the nursing measures for patients in shock so that nurses can have a comprehensive understanding and knowledge of them.

(1) Rapidly replenish blood volume and maintain fluid balance.

1. Establish intravenous access:

Rapidly establish two or more intravenous infusion channels and rapidly replenish large amounts of fluid (except for cardiogenic shock). If venous puncture is difficult in patients with peripheral vascular atrophy or obesity, central venous cannulation should be performed immediately and CVP should be monitored simultaneously.

2. Reasonable fluid replacement:

Adjust the infusion volume and speed according to heart and lung function, blood loss, fluid loss, blood pressure and CVP value.

3. Observe changes in the condition:

Monitor pulse, respiration, blood pressure and CVP regularly, and observe the patient's consciousness, facial and lip color, extremity skin color, temperature and urine volume.

4. Accurately record the amount of input and output:

During infusion, especially during emergency treatment, a dedicated person should accurately record the type, quantity, time, speed, etc. of the infused fluid, and record the 24-hour intake and output in detail as a basis for subsequent treatment.

5. Dynamic monitoring of urine volume and urine specific gravity:

A urinary catheter was placed and the hourly urine volume and urine specific gravity were measured.

(ii) Improve tissue perfusion and promote normal gas exchange

1. Take shock position:

Place the patient in the supine concave position, with the head and trunk elevated by 20° to 30° and the lower limbs elevated by 15° to 20°, to facilitate downward movement of the diaphragm to promote lung expansion, increase the amount of blood returning to the limbs, and improve blood supply to important internal organs.

2. Use anti-shock pants:

After the shock is corrected, in order to avoid hypotension caused by excessive deflation of the air bag, the air should be deflated slowly starting from the abdomen and the blood pressure should be measured every 15 minutes. If the blood pressure drops by more than 5 mmHg, the deflation should be stopped and the air should be re-inflated.

3. Medication care

(1) Concentration and speed:

When using vasoactive drugs, start with low concentrations and slow speeds, and measure blood pressure every 5 to 10 minutes using an ECG monitor. After blood pressure stabilizes, measure it every 15 to 30 minutes.

The above is a detailed introduction to the nursing measures for shock patients. Through the above understanding, if there is a shock patient in the family, as a family member, if you want the shock patient to have a higher quality of life, you must have a comprehensive understanding of the nursing measures introduced above. Only by taking good nursing measures can the shock patient survive longer through adequate care.