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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:
- Manage
all of the variables that maintain tissue oxygenation
- Define
shock in terms of end organ perfusion
- Examine
the differences in managing shock types
- Determine
the right fluid to use in shock
- 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
- “Mr.
Woodruff is the best speaker I've ever heard!
- Bar
none!
- He
can take material that is pretty technical and boring
- and
make it simple and interesting!
Start
understanding how to manage shock today.
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Audio
CD $15 
Download
the audio program and workbook now $10
Total
download size is about 10 MB (mp3 audio & pdf
file) |
"You'll
get it", I guarantee it! -
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