A patient being treated for hypovolemic shock after a multiple traumatic event has a blood pressure of 100/50 mm Hg, heart rate of 98 and regular, oxygen saturation of 94%, and a urine output of 50 cc per hour
Which of the following do these assessment findings suggest to the nurse? 1. cautiously optimistic successful traumatic shock resuscitation
2. definitely successful traumatic shock resuscitation
3. continue with traumatic shock resuscitation
4. dire consequences and non-successful traumatic shock resuscitation
1
Rationale: Since the traditional signs of sufficient tissue perfusion such as normal blood pressure, heart rate, and urine output cannot be used in shock states because normal vital signs and urine output may be the result of compensatory mechanisms (renin–angiotensin–aldosterone and the sympathetic nervous system, the best clinical indicator of sufficient tissue perfusion is not currently available. Current indicators include traditional hemodynamic parameters, global parameters, and organ specific parameters. It is wise to treat this patient's resuscitation efforts as being cautiously optimistic. It cannot be said that this resuscitation was a definite success. This patient may not need continued shock resuscitation. This patient's situation is not dire and would not be considered unsuccessful.
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Fill in the blank(s) with the appropriate word(s).
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