Clinical skills: assessing and treating shock: a nursing perspective

Journal article


Bench, S (2004). Clinical skills: assessing and treating shock: a nursing perspective. British Journal of Nursing. 13 (12), pp. 715-721.
AuthorsBench, S
Abstract

This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Nursing copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see http://www.magonlinelibrary.com/doi/abs/10.12968/bjon.2004.13.12.132...

This article outlines the pathophysiology associated with hypovolaemic, cardiogenic and distributive shock, and discusses how each of these might present clinically in the patient. Nursing assessment of a patient in shock is explored, and the use of tools such as the pulse oximeter are examined. The evidence base for a variety of interprofessional interventions is analysed, including fluid therapies such as blood transfusion, the use of crystalloids and colloids, and drug therapies such as the use of inotropic and vasoactive agents. The nursing role in managing the patient in shock is considered throughout. The importance of recognizing the clinical presentation of shock is highlighted, with an emphasis on understanding the pathophysiology and potential systemic effects. Treatment is discussed and covers: providing optimal oxygen therapy, appropriate patient monitoring and location of care, using effective communication skills, assisting with activities of living, psychological support, and working collaboratively to maximize the overall quality of patient care delivered.

Keywords1110 Nursing
Year2004
JournalBritish Journal of Nursing
Journal citation13 (12), pp. 715-721
PublisherMark Allen Healthcare
ISSN0966-0461
Digital Object Identifier (DOI)doi:10.12968/bjon.2004.13.12.13260
Publication dates
PrintJun 2004
Publication process dates
Deposited01 Dec 2017
File
License
CC BY 4.0
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/87v05

Download files

File
article %28shock%29.doc
License: CC BY 4.0
File access level: Open

  • 32
    total views
  • 979
    total downloads
  • 1
    views this month
  • 1
    downloads this month

Export as

Related outputs

Involving patients and families in critical care research and quality improvement
Bench, S (2019). Involving patients and families in critical care research and quality improvement. Nursing in Critical Care. 24 (2), pp. 67-69.
Education provision for patients following a spinal cord injury
Rodger, S and Bench, S (2019). Education provision for patients following a spinal cord injury. British Journal of Nursing. 28 (6), pp. 377-381.
A Rapid Review of Educational Preparedness of Advanced Clinical Practitioners
Bench, S (2019). A Rapid Review of Educational Preparedness of Advanced Clinical Practitioners. Journal of Advanced Nursing.
Orthopaedic nurses’ engagement in clinical research; an exploration of ideas, facilitators and challenges
Bench, S, Dowie-Baker, J-A. and Fish, P. (2019). Orthopaedic nurses’ engagement in clinical research; an exploration of ideas, facilitators and challenges. International Journal of Orthopaedic and Trauma Nursing. 35, p. 100699.
Use of a Virtual Reality device for basic life support training; prototype testing and an exploration of users' views and experience
Bench, S and Francis, G (2019). Use of a Virtual Reality device for basic life support training; prototype testing and an exploration of users' views and experience. Simulation in Healthcare. 14 (5), pp. 287-292.
Randomised Controlled Trials: an introduction for nurse researchers
Bench, S, Day, T and Metcalfe, A (2013). Randomised Controlled Trials: an introduction for nurse researchers. Nurse Researcher. 20 (5), pp. 38-44.
Ventilator-associated pneumonia and suction: a review of the literature
Letchford, E and Bench, S (2018). Ventilator-associated pneumonia and suction: a review of the literature. British Journal of Nursing. 27 (1), pp. 13-18.
The education and training needs of advanced clinical practitioners: an exploratory, qualitative study
Bench, S, Lee, G, Baker, E, Trenchard-Turner, N, Whaley, S, Peacock, S, Garry, B, Dover, N, Nwosu, W and Worth, T (2018). The education and training needs of advanced clinical practitioners: an exploratory, qualitative study. Journal of Nursing Education and Practice. 8 (8).
Evaluating the implementation of confusion assessment method-intensive care unit using a quality improvement approach.
Stewart, C and Bench, S (2018). Evaluating the implementation of confusion assessment method-intensive care unit using a quality improvement approach. Nursing in Critical Care. 23 (4), pp. 172-178.
Evaluating the Implementation of CAM-ICU using a Quality Improvement approach
Stewart, C and Bench, S (2018). Evaluating the Implementation of CAM-ICU using a Quality Improvement approach. Nursing in Critical Care.
Reviewing interventions supporting parents' well-being after a child’s intensive care unit discharge
Bench, S and Bedford, Z (2018). Reviewing interventions supporting parents' well-being after a child’s intensive care unit discharge. Nursing in Critical Care.
Healthcare stakeholders' perceptions and experiences of factors affecting the implementation of critical care telemedicine (CCT): Qualitative evidence synthesis
Xyrichis, A, Mackintosh, NJ, Terblanche, M, Bench, S, Philippou, J and Sandall, J (2017). Healthcare stakeholders' perceptions and experiences of factors affecting the implementation of critical care telemedicine (CCT): Qualitative evidence synthesis. Cochrane Database of Systematic Reviews. 2017 (11).
The nature and extent of service user involvement in critical care research and quality improvement; a scoping review of the literature.
Bench, S, Eassom, E and Poursanidou, K (2017). The nature and extent of service user involvement in critical care research and quality improvement; a scoping review of the literature. International Journal of Consumer Studies. 42 (2), pp. 217-231.
Intensive care discharge summaries for general practice staff: a focus group study
Bench, S, Cornish, J and Xyrichis, A (2016). Intensive care discharge summaries for general practice staff: a focus group study. British Journal of General Practice. 66 (653), pp. e904-e912.
Evaluating the feasibility and effectiveness of a critical care discharge information pack for patients and their families: a pilot cluster randomised controlled trial
Bench, S, Day, T, Heelas, K, Hopkins, P, White, C and Griffiths, P (2015). Evaluating the feasibility and effectiveness of a critical care discharge information pack for patients and their families: a pilot cluster randomised controlled trial. BMJ Open. 5 (11), pp. e006852-e006852.
Providing critical care patients with a personalised discharge summary: A questionnaire survey and retrospective analysis exploring feasibility and effectiveness
Bench, S, Heelas, K, White, C and Griffiths, P (2014). Providing critical care patients with a personalised discharge summary: A questionnaire survey and retrospective analysis exploring feasibility and effectiveness. Intensive and Critical Care Nursing. 30 (2), pp. 69-76.
Effectiveness of Critical Care Discharge Information in Supporting Early Recovery From Critical Illness
Bench, S, Day, T and Griffiths, P (2013). Effectiveness of Critical Care Discharge Information in Supporting Early Recovery From Critical Illness. Critical Care Nurse. 33 (3), pp. 41-52.
Developing user centred critical care discharge information to support early critical illness rehabilitation using the Medical Research Council's complex interventions framework
Bench, S, Day, TL and Griffiths, P (2012). Developing user centred critical care discharge information to support early critical illness rehabilitation using the Medical Research Council's complex interventions framework. Intensive and Critical Care Nursing. 28 (2), pp. 123-131.
Involving Users in the Development of Effective Critical Care Discharge Information: A Focus Group Study
Bench, S, Day, T and Griffiths, P (2011). Involving Users in the Development of Effective Critical Care Discharge Information: A Focus Group Study. American Journal of Critical Care. 20 (6), pp. 443-452.
The user experience of critical care discharge: A meta-synthesis of qualitative research
Bench, S and Day, T (2010). The user experience of critical care discharge: A meta-synthesis of qualitative research. International Journal of Nursing Studies. 47 (4), pp. 487-499.
Recognition and management of critical illness by midwives: implications for service provision
Bench, S (2007). Recognition and management of critical illness by midwives: implications for service provision. Journal of Nursing Management. 15 (3), pp. 348-356.