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Shock Stages Nursing NCLEX: Initial, Compensatory, Progressive, Refractory
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- Опубліковано 7 гру 2018
- Shock stages include initial, compensatory, progressive, and refractory stages.
Shock results from a cause of some type that leads to decrease tissue perfusion to organ/tissue's cells. When the cells are deprived of perfusion they lack oxygen to function and can suffer hypoxic injury. If this is not corrected, multiple organ dysfunction syndrome can occurs along with death.
Types of shock include the following:
-Hypovolemic shock
-Cardiogenic shock
-Neurogenic shock
-Septic shock
-Obstructive shock
-Anaphylactic shock
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During the initial stage of shock, the cells start to switch from aerobic metabolism to anaerboic. This results in the accumulation of lactic acid in the body. The signs and symptoms during this stage are not yet noticeable.
During the compensatory stage of shock, the body utilizes it neural, biochemical, and hormonal faculties in attempt to increase cardiac output and perfusion to the cells. For a while this works but will eventually fail in the cause of shock is not treated. This stage is reversible and the patient can recovery is the shock is successfully treated. If the patient is not treated correctly, they will progress to the progressive stage of shock.
During the progressive stage of stock, the body has failed to compensate and it is progressing to MODS. This stage is highlighted by the malfunction of all the organs. The patient's neuro status will be impaired due to a severe decrease of cerebral perfusion. The mean arterial pressure (MAP) will be less than 60 mmHg. Renal failure will ensure along with GI bleeding, acute respiratory distress syndrome (ARDS), DIC (disseminated intravascular coagulation) and so forth.
The last stage of shock is the refractory stage. The word refractory means "unmanageable". This stage is irreversible and MODS will occurs along with death.
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Hey Everyone! I'm so EXCITED to start this shock series! Don't forget:
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RegisteredNurseRN thanks so much for the video can you please some videos on sepsis and hypovolemic shock
Thank you so much. I love your videos...they helped me get through nursing school.
Could you please make video about burette please
Muy buen mensaje
Thank you Sarah. We greatly appreciate all your lectures. YOU ARE SO AMAZING!
Thank you so much for this video. It isn’t for nursing school but because my brother just died of Sepsis on the 23 of October. He was 40. I flew to Colorado (from Mo.) to be with him and had to be his proxy and make the decision to shut off his pressers 9 days later and let him go. He died in 29 minutes while I held him. He was my only sibling. I didn’t understand everything that was happening at the time. The Dr told my mom he would only live 48 hours. I had them keep him alive 9 days not knowing he had already crossed all the these stages and was in MODS when he arrived at the ER. He was found on the bathroom floor and was left there for 16 hours before anyone called 911. When paramedics arrived he had a blood sugar of 21, body temp of 87. His liver, kidneys and pancreas had shut down. Had I known all of this I wouldn’t have fought to keep him alive so long. I thought they could do something to save him. They kept giving me tiny glimpses of hope. I think that’s only because they couldn’t come right out and tell me he was not going to live. I saw every part of the last category at the hospital. Especially with his labs. The DIC, All of it. He never had a chance. In a strange way I’m so thankful for this video because I still wondered if there was anything that could have been done and if I had made the right decision. I know now I did. For him. So, thank you so much. ❤️
I am so so sorry, for your lost.
I hope you’re doing well. God bless you.
God bless you. So sorry for your brother. You are so strong 💪💪💪
How did he get septic at 40?
I am very sorry for your loss. I hope you're better now. I lost my dad he was in hypovolemic shock and he died from internal bleeding. He got into a car accident and he started bleeding internally and we could find where he was bleeding from but when we found it he had lost too much blood and he died. He pretty much bleeded out. We tried thinking about the where the bleed was but it took too long.
If you aren't a professor yet, Idk what you are waiting for. You are AWESOME!!!! Your videos are long, but they replace lectures and help people prepare for NCLEX so well. It's time you do this full time. You are saving lives through the people you educate. Thank you.
shes my professor :)
@@SammY-ue4yv.. you are a lucky nursing student :)
@@SammY-ue4yv Is she really your professor? or do you mean she teaches you on UA-cam... just curious. She's amazing. I would love to be in a program with her as the actual teacher.
It's better she sticks to youtube. People who come here actually want to LEARN the info. Classroom will kill her desire to teach.
I used to think you should be a professor, but now I have changed my mind.. You are way too valuable for that! You should be a director or owner of a nursing school, so you can teach professors how to teach this well.. A consult of numerous nursing schools, your ability to teach exceed anybody's I've seen this far!
When you think about that, you are not just blessing the people who watch your videos, you are blessing the people that we will be taking care of.. It's getting me choked up, because your light will extend so far Miss Sarah! Thank you so much and God bless your beautiful family
Just learned I passed my NCLEX! 75 questions, first attempt! Thanks for all your videos as they were God sent during my studies ❤️
OMFG my final is tomorrow and you JUST uploaded this 2 days ago, florence nightinggale has blessed me
marypoppinamolly Hahahaha ❤️
😂😂NCLEX in 2 days!!! 🙈🤷🏾
😂😂😂
I have been a nurse over a year and a half and I STILL re-watch your videos and take notes today! You make the information so easy to understand and it has made me a better nurse! YOU ALSO GOT ME THROUGH NURSING SCHOOL! THANK YOU FROM THE BOTTOM OF MY HEART!
WOW- CAN'T BELIEVE THAT SHE ACKNOWLEDGES EVERYONE'S MESSAGE. SHE IS TRULY A GEM! XOXO
Sarah! you have helped me tremendously during nursing school! 4 years later and I still go back to watch your videos! Thank you! May God bless you and keep you. May His Face shine upon you and give you peace!
Hello Registered Nurse Sara I am very happy and excited to tell you that today I had passed my nclex RN in 76. It’s because of your awesome lectures. It was impossible too pass without your amazing videos.I gave my test on Saturday on 16 March 2019, my computer shut down at 76th question . It was unbelievable in 2 hrs and found PASS today on 18 March 2019 @9:00am . I am very grateful and thankful to you for your lovely help 🥰🤗🙏.I ❤️ love you sooooo much.
Wouldn't you know, the only test I didn't do well on all year was the shock one! I used your excellent videos to study all through nursing school! I'm so glad this came out just in time for my final tomorrow! 10 days til graduation!!!!!! Thank you Nurse Sarah!
Ive been studying for the NCLEX for months (scheduled for the end of the month) but I never understood the "entire picture" until I started watching your videos!!! I LOVE how you explain the patho and how you really explain the meaning behind the different signs and symptoms. My husband is also preparing for his Physical Therapy board exam and I'm able to teach him some of our topics with confidence!!! Thats how I know I actually understand now. thank you Sarah!!!
Hiii
I wanted to thank you and show my appreciation to you the day I passed my RN exam from first try . Your videos are very thorough and easy to understand. I think you are a great professor and obviously a great nurse . Thank you for what you do to your fellow nurses and student nurses . You are the best youtube nurse professor ❤️
You are amazing. I watched your videos throughout my nursing school & also while preparing for my NCLEX. I passed my NCLEX in 75 questions. A big thanks to you. May God bless you with all that you desire.
I'm here reviewing for my Critical Care Final!! Last stop before graduation
Same here a year later lol
Nurse Sarah is the reason I am about to graduate...thank you for pulling me through Nursing School!!!
Sarah! THANK YOU, THANK YOU!!! Your videos got me through nursing school and NCLEX RN. I had 75 questions with 75% select all. 😳. I passed! Thank you Sarah!😎
That's so awesome that you passed! Congrats, and thank you for your kind words. I hope you have a blessed career as a new nurse!
Hey Sarah. You are a blessing to all the nurses out there. Thanks to your videos i passed my NCLEX 3 days ago. Thank you for everything.
Nurse Sara I want to thank you for sharing your gift with all of us. You are truly a blessing. With the help of your videos, I was able to have an easier transition into my nursing career. Yesterday was my pinning ceremony and you were one of my best assets. Thank you, and keep blessing us with your knowledge.
You are amazing, I love that you write everything in different colors, this makes it so easy to follow and understand. I can't imagine how long it takes to prepare one lesson, and all this for free! you are my hero. Thank you.
Sarah, you are a life saver!!! After almost a week of reading shock in my textbook i finally understand by watching this one video.n Patiently waiting on the others in the series for my finals on monday. I need to mail you a thank you card when i take Nclex!!! I LOVE YOU BESTFRIEND LOL
Sara U R the bestest of the best just took my RN NCLEX on the 02/28/2019 I passed At 80 Thanks to Ur videos I rallyyyyy appreciate your videos keep up the good work .................... bless you
Your videos have been AMAZING this semester. Since everything is online, I feel like I've really been missing out. I thought I depended on your videos before COVID, but now, you're the only lecturer that teaches me in a way that I can learn from! Thank you so much, Sarah!!
Hello, I passed my NCLEX! Thank you so much for your reviews. Keep doing what you are doing you are amazing!
Congurlation !Which resources did you use to pass NCLEX?
I don't know if I could be making it through RN school without you. Thank you for everything you do. God bless you.
I watched your videos when I was in nursing school, and I still watch your video now after I have been working more than a year on a medicen floor. I always love your detailed explaination and visual tools that help me understand better. Refreshing makes me more confident at work :) Thank you!
Thank you Sarah! This is just in time for my final!! Impatiently waiting on videos on the different types of shock.
This is explained so well. So precise and organized. I appreciate this more than ever due to the switch of remote learning, thank you for what you do!
My nursing instructors post your videos instead of making their own content. Thank you for teaching me! I wish my tuition went to you!
Thank you so much. You are an angel. I have my final tomorrow, so it came just in time. Thank you. God bless. ❤️❤️❤️❤️❤️❤️❤️🙌🏽🙌🏽🙌🏽🙌🏽🙌🏽🙏🏽🙏🏽🙏🏽🙏🏽
Sara you are amazing professor you saved my life for my nursing exams, thanks for your job teaching better than many professors in nursing school..!!! thanks saraa!!!!
That’s CRAZY I was LITERALLY reading about the stages of shock in my PowerPoint for my final on Monday... and you upload a video of just that
I passed nursing school because of ur amazing and informative videos, thank you
I just want to say I just found out I got into the nursing program, I found your channel for pharm class and now I am digging in with your videos to prepare.
Thank you so much for your wealth of knowledge.
I have watched dozens and dozens of your video's - this is one of the very best - thank you SO much for doing these. I am not sure if I could be getting through nursing school without your "hello everyone"! It helps my spirit to keep going. lol
Any nursing student knows what I mean. The struggle is real.
I admit....I am not even in a nursing program but I constantly watch your videos.
I have an associates in applied sciences as well as a Bachelors in Sociology. Even though I have those, I have always wanted to work in the medical field. I want to be a nurse but I have no confidence at all. I have a few learning disabilities and a ton of critics telling me I can’t do it. I am 28 and have an almost 1 year old son who makes me want to go back to college to pursue my dreams. You’re videos make me want to at least reach for my dreams. Especially watching your “math in nursing” video. 😂😂
Since I told you my life’s story, I just wanted to say, thanks for these videos!!
I have a bachelors is psychology and 2 kids, I started back for the prerequisites for ADN/RN school when I was 30. I'm 33 now, and graduating in May. You can totally do this!
Thank you Sarah. We greatly appreciate all your lectures. YOU ARE SO AMAZING!
I have a final tomorrow and your videos always save me! Thank you for making these videos.
Thank you so much for taking out the time and helping nursing students like me!! You explain everything without making it confusing. Thank you!
Thanks so much Nurse Sarah! Though I'm not a nurse myself, you help me so much with understanding the concepts in great detail. Your explanations are so thorough I use lots of your acronyms and mnemonics to help my students learn the material in CPR. Thanks so much!
We have an exam on shock in 2 days! Thank you, Sarah, just in time
Your videos have made me boost my interlectual capacity in nursing
Was looking forward to your shock video prior to my exam. Thanks Sarah!
Great timing January we start going over cardiac. Please keep the cardiac videos coming. ♡ :)
You're such a blessing Ms. Sara..Thank you very much
Thanks so much Sarah...i'm preparing for my NCLEX been out of school over 12 years finding your videos so helpful -keep me in prayer guys believing i'll share my good results soon!
Thanks for being so loyal in posting regularly. I messaged you in the Spring of 2017 asking advice on if taking APl is doable over a summer semester. Although, I decided to take it in a full-term fall semester- I'm proud to say that I will be starting my nursing school/BSN journey on Jan 7, 2019. I look forward to using your website and youtube page as a resource for learning. xoxo
Thank you so much for all of your videos!!! They help so much in nursing school!!!
You definitely should have OVER a few MILLION subscribers by now you are absolutely AMAZING 💞
Thankyou Sarah ... your channel is my favourite . I watch all your videos and they are the clearest of all . Keep it going I’m a huge huge fan ..
you made all the connections in my brain, and even created multiple videos going over all the different types of shock... I LOVE YOU SM
I am so glad to catch a new upload I wanted to tell you that as of 12/6 I have received my ADN and it is all because of your videos. You got my through fundamentals and finally Advanced Med-surge. I ate and slept your neuro video and because of it I got a 92, that was the highest grade I scored in that class. Anyways thank you for this constant upload of simple yet informative videos for nursing students I truly appreciate it!
#cochrangrad
#nclexnextstop
I’ve been watching all your videos starting with older videos and taking notes. I am trying to bridge from lvn to rn. The school I have applied to has a new testing HESI, which includes comprehensive lvn assessment scores. I’m trying to refresh on majority of my skills/systems. You are a great instructor! Thank you!
Hello! I’m a 2nd yr nursing student in South Korea who just started learning about shock. This literally helped me the most and i appreciate of your well-made video. It was very educational and i just can’t thank you enough :-)
Thank you for making my learning journey more pleasure..👍
this videos are amazing! thank you so much
You are such a God send. I'm in my final semester of Nursing School and with having to learn remotely you helped me so much in my third semester. Thank you for your amazing videos!
Thank you Sarah for posting this video.
Hi Sarah, your video and your talent as a instructor is a life saver. I am a new ICU nurse in a long term critical care, and your videos have helped me so much in my new position. Thank you so much and God bless you with your beautiful mind and talent.
This is a blessing for my exam tomorrow, I should've spent more time watching your electrolyte videos (my worst subject), you're the best!!!
Dear Nursing Sarah, I just passed ny nurrsing ltasy nuexam of. Thank you for all yoyr helon, babe. Yoyuve been a bigger success to my adventure through school than bayn poreffor at harpoe college at Palatktitine . I love you,
Brilliantly done as always. THANKS Sarah.
thanks for all your videos =) you're great and u help lots of people. i'm a visual learner so reading books won't work for me most of the time.
God bless Nurse Sarah =)
Love watching your videos to reconsolidate the information I study before an exam! so thankful for your videos!
I have an exam in a couple of days and I just want to say that I have learned more from this video than in class for 5 hrs
Just in time for my critical care final!! thank you so much
You're the only reason I'm passing Nursing!! Thank You!
So thankful for your videos!
Mam your all videos are too good
All videos are motivate me in study
I loved this video. I'm not a medic though. I live in the UK and recently lost my Dad to septic shock.
I found your video very easy to understand, interesting and comprehensively put together.
Thankyou xx
You are such a gifted teacher! I love the way you explain things. Thank you for making these videos!
Your videos are awesome
I learned more from this than I did from hours of listening to lecturers at University. Thankyou
I have a med-surg final Saturday and shock is on it. Thank you!!
I love your videos! Thank you for posting! Wish I had found you sooner!
Girl, LOVE the shock series. Thank you so much!
Honestly I have been playing your video about shock to sleep at night. Such a life saver !!! Hope I do well!!
Gracias. Gracias. Gracias. Gracias por todo mil bendiciones
Your videos are fantastic!!! I've watched your videos all throughout nursing school. I am now officially a LVN and start an RN program in Feb. Thank you for making these!!!
Very informative and helpful lecture. It really helps to grasp the basic concepts of shock. Thank you
This video should be titled "Nursing school in 27 min"
Your videos are so helpful and they're helping me all through nursing school. Thank you from the bottom of my heart
You are very good at explaining this complex matter. I loved the presentation!
19:16 talks about permiability in the progressive stage and its effects on the body
It is awesome, it really covers everything in a short time. Keep it up!
Thank you so much Nurse Sarah
Thank you so much for your videos
Thank you so much! It helped me understand better ❤
This filled so many gaps. Thanks.
Love your videos so much. You truly have a gift for teaching.
youre heaven sent
I'm from India.. u an angel 😇 to me mam❤❤
I read this in my cna textbook..even though there is not a lot of information because is not for RN but for CNA..
Perfect time! Have an exam on shock and stages of shock . Literally was looking trough your videos to find this just few days ago ❤️👍🙏 Thank you so much !
always excellent Sarah.
Love the way you teach. You're amazing. Thank you.
IDK what will i do without you
Thank
Thank you ❤️❤️
Tysm Sarah! Needed this👍😊🙏
Thank you
This video came out LITERALLY the day before my final which had like 7 questions regarding shock! Thank you! 👨🏾🎓