Kathleen Cross

 

Although the traditional hallmark of shock is hypotension — where the systolic blood pressure is less than 90 mmHg — this can be a late or misleading sign and is considered a medical emergency. It is therefore critical that other signs and symptoms are identified early by frequent observations to detect a patient’s deteriorating state, and to respond before irreversible shock ensues. Knowledge of the different states of shock is important for nurses as they play a key role in promoting early detection and treatment of shock that can impact patient outcomes. Awareness of updates in evidence-based practice pertaining to shock management is important in the prevention of clinical states, such as infection, that can lead to conditions such as sepsis and septic shock. Such knowledge can help the clinical nurse promote care that is based on the latest guidelines for care.