What are the key points of observation in patients with shock

The patient's breathing, pulse, blood pressure, consciousness, pupil changes and muscle tension are mainly observed

Care measures should be tailored to the different causes of shock

The main points of observation and burial examination of patients with shock are as follows. Consciousness and expressions: reflect the perfusion of brain tissue.

**Color, temperature, humidity: reflect the perfusion of the body surface. Urine output:

Regurgitant fluid can also reflect the blood perfusion of other tissues and organs. Blood pressure and pulse pressure differences. Pulse:

The pulse rate is rapid during shock, and a fast, thin pulse indicates worsening shock. Respiration: Breathing is rapid and burning, shallow, and irregular.

Breaths that increase to more than 30 minutes or decrease to less than 8 minutes indicate an exacerbation.

The main points of observation of the patient's condition are as follows. Consciousness and expressions: understanding the perfusion of brain tissue; **Color, temperature, humidity:

Evaluate the perfusion of buried celery on the body surface; Urine output: to understand the blood perfusion of the kidneys and tissues and organs; Blood pressure and pulse pressure differences: understanding changes in microcirculation; Pulse:

Observe changes in pulse rate, such as thin pulse bundles suggesting worsening shock; Hail respiration: Observe the frequency, rhythm, depth, etc. of breathing to judge the changes in the condition.

Through monitoring, the diagnosis can be further determined, and the condition can be better judged and guided**. Usually the following monitoring is done on the stool:

1) General monitoring: Mental state: can reflect the flow of brain tissue perfusion beam; Limb temperature, color:

Reflects body surface perfusion; Blood pressure: should be measured and compared regularly, the cuff method should be used to measure blood pressure in shock, and radial artery puncture manometry should be performed if necessary; Pulse: a small pulse often appears before the blood pressure drops, and a clear pulse and warm hands and feet indicate improvement in shock; Urine output:

It can reflect the renal hemoperfusion, and observe the hourly urine output, which can help understand blood volume and kidney function. Slag height.

2) Special monitoring: central venous pressure; pulmonary artery wedge pressure; cardiac output and cardiac index; arterial blood gas analysis; arterial blood lactate determination; Laboratory tests for DIC, etc.

Analysis: Hello, the main points of observation in patients with shock are 1Consciousness & Expressions:

Understand the perfusion of brain tissue; 2.**Color, temperature, humidity:Assess perfusion on the body surface; 3.Urine output:

Understand the blood perfusion of the kidneys and the blood pipelines of tissues and organs; 4.Blood pressure and pulse: understanding changes in microcirculation; 5.

Pulse: observe changes in pulse rate, such as thin pulse bundles suggesting worsening shock; 6.Breathe:

Observe the breathing rate, rhythm, depth, etc., and judge the changes in the condition.

Advice: Pay attention to changes in blood pressure in particular.

1. Consciousness and expression, reflecting the perfusion of brain tissue;

2. Color, temperature and humidity reflect the perfusion of the body surface.

3. Urine output: reflects the perfusion of the kidneys and other tissues.

4. Blood pressure and pulse pressure difference.

5. Pulse: The pulse rate increases during shock. A fast and weak pulse indicates worsening shock.

6. Respiration: Breathing increases, becomes shallow, irregular, > 30 times of distribution< 8 times indicates that the condition is aggravated.

1) Consciousness, expression: irritability, apathy, confusion or coma.

2) Peripheral circulation: color, temperature and humidity.

3) Jugular veins and peripheral veins: whether they are full or not.

4) body temperature congratulatory luck; Usually below normal body temperature, but septic shock may be associated with high fever.

5) Pulse: fast and slow, strong or weak.

6) Breathing: frequency, coarse rhythm and depth.

7) Pupil: shape and ballast size and light reflex.

8) Difference between blood pressure and pulse pressure.

9) Urine output versus urine relative density (specific gravity).

10) Pay attention to the observation of complications, such as shock lung, heart failure, renal failure, DIC, etc.