A client presents with shock in the hospital, and has a history of a recent infection. What does the nurse suspect that this client is experiencing?
1. Septic shock
2. Hypovolemic shock
3. Cardiogenic shock
4. Neurogenic shock
1
Rationale 1:A recent infection could indicate septic shock.
Rationale 2:Obvious trauma or bleeding combined with the symptoms mentioned previously would suggest hypovolemic shock.
Rationale 3: A history of heart disease would suggest cardiogenic shock.
Rationale 4:If trauma to the brain or spinal cord is evident, neurogenic shock might be suspected.
Global Rationale: Diagnosis of shock is rarely based on such nonspecific symptoms. A careful medical history, however, will provide the healthcare provider with valuable clues as to what type of shock might be present. For example, obvious trauma or bleeding combined with the symptoms mentioned previously would suggest hypovolemic shock. If trauma to the brain or spinal cord is evident, neurogenic shock might be suspected. A history of heart disease would suggest cardiogenic shock, whereas a recent infection could indicate septic shock. A history of allergy with a sudden onset of symptoms following food or drug intake might suggest anaphylaxis.
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