Reference no: EM133555892
Problem
A 16-year-old male who is the star quarterback for his high school team suffers a compound femur fracture during a playoff game. Upon arrival to the emergency department, the patient assessment reveals the following: tachycardia, pallor, restlessness, and extreme pain in the extremity.
I. Address the differences in the presentation of each of the following shock types:
Hypovolemic
Anaphylactic
Septic
Cardiogenic
Which of the above etiologies pertains to this patient?
II. What is the common problem with all types of shock? Provide rationales for your answer.
III. Explain the following compensatory mechanisms for a patient in shock:
Sympathetic nervous system response
Renin-angiotensin-aldosterone (RAA) activation
Antidiuretic hormone (ADH) release
Glucocorticoid release
IV. List five complications of decompensated shock.
V. What acid-base disturbance would you expect to develop in a patient in decompensated shock? Provide rationales for your answer.
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