Typical shock management involves support with IV fluids and vasopressors. The goal is to increase the patient's B/P to an acceptable level. The problem with this strategy is that it is short-sighted and doesn't correct the underlying problem.
Start by redefining shock as decreased tissue oxygenation. Therefore, the goal of shock assessment and treatment should be to improve tissue oxygenation rather than maintain the blood pressure.
Maintaining tissue oxygenation is a delicate balance between oxygen supply and demand. Merely putting the patient on oxygen or maintaining the blood pressure is not enough to maintain tissue oxygenation.
Tissue oxygen supply is composed of lung oxygenation, hemoglobin level and cardiac output. Tissue oxygen supply must meet oxygen demand or hypoxia ensues.
How can nurses remember all of these variables during a complex and stressful shock resuscitation? By using the simple concept of The Ventilation:Perfusion Train.
The Ventilation:Perfusion Train concept makes it easy to:
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Manage all of the variables that maintain tissue oxygenation
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Define shock in terms of end organ perfusion
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Examine the differences in managing shock types
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Determine the right fluid to use in shock
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Examine the problems with using vasopressors
How to Manage Shock! uses The Ventilation:Perfusion Train concept to teach nurses how to better manage decreased tissue oxygenation by considering all of the variables involved in shock. How to Manage Shock! includes:
The Ventilation:Perfusion Train
60-minute audio CD
Comprehensive handbook
Case study to put it all together
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“Mr. Woodruff is the best speaker I've ever heard!
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Start understanding how to manage shock today.
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Audio CD $17
Download the audio program and workbook now $12
Total download size is about 10 MB (mp3 audio & pdf file) |
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