An 82-year-old female was admitted to the hospital with confusion and severe hypotension. Her body's compensatory mechanisms are increased heart rate, vasoconstriction, and movement of large volumes of interstitial fluid to the vascular compartment
What kind of shock does the nurse suspect the patient is experiencing?
a. Anaphylactic
b. Hypovolemic
c. Neurogenic
d. Septic
ANS: B
In hypovolemic shock, heart rate and SVR increase, boosting both cardiac output and tissue per-fusion pressures. Interstitial fluid moves into the vascular compartment. In anaphylactic shock, bronchoconstriction occurs with hypotension. In neurogenic shock, hypotension occurs, but fluid does not shift. In septic shock, interstitial fluid shift does not occur.
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