I need help figuring this question out. Several people are admitted to the criti

Question

I need help figuring this question out.

Several people are admitted to the critical care unit, including (1) a 79-year-old man with a small anterior myocardial infarction and no prior cardiac history, (2) a 47-year-old man being given contrast media during a diagnostic procedure, (3) a 17-year-old adolescent with a cervical spine injury after a diving accident, and (4) a 72-year-old woman who was admitted with a bowel perforation caused by intestinal malignancy. Discuss what additional assessment information is needed to determine which of these patients has the potential to develop shock and the rationale for your decision.

Explanation / Answer

1, Cardiogenic shock most commonly occurs as a complication of acute myocardial infarction. Cardiogenic shock is most often caused by acute myocardial infarction, particularly affecting the anterior wall of the heart. The client to be assessed for,

2, The client should be assesed in all these aspects to prevent from the shock are,

3, The additional assesment of adolescent affected by cervical spine injury include,

If the client exhibit those symptoms, then they are more prone to develop neurogenic shock because of the severe damage to cervical spine. In neurogenic shock the body loses its ability to activate the sympathetic nervouos system and cannot trigger compensatory mechanisms and only parasynthetic tone remains.

4, Client with bowel perforation, Assess for Sepsis signs and symptoms like,

When sepsis is of severe at that time, there is decreased urine output, abrupt cahnge in mental status, decreased BP, difficulty in breathing etc. Then the client will be more prone to septic shock. Sepsis occurs by perforation of bowel. Chemicals release into blood stream and triger inflamatory response. If not treated early, it will afect multiple organs and leads to death.

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