sribella@7744

💥 HIGH-YIELD TOPIC: SHOCK (TYPES & STAGES) 👇🏻

👉🏻Highly important for NORCET 2026 & AIIMS. In the exam, you must be able to distinguish between different types of shock based on Blood Pressure, Heart Rate, and Skin Temperature.👉🏻

🎓 WHAT IS SHOCK?👇🏻

Shock is a state of inadequate tissue perfusion. The body’s cells are not getting enough oxygen, leading to organ failure.

1️⃣ Hypovolemic Shock (Low Volume)

* Cause: Massive blood loss (Hemorrhage) or fluid loss (Burns, severe vomiting/diarrhea).
* Signs: Hypotension, Tachycardia, Cold/Clammy skin, decreased urine output.
* Treatment: IV Fluids (NS/RL) and Blood products.

2️⃣ Cardiogenic Shock (Pump Failure)

* Cause: Myocardial Infarction (Heart Attack), Heart Failure.
* Signs: Hypotension, Tachycardia, Crackles in lungs (Pulmonary Edema).
* Treatment: Inotropes (Dopamine/Dobutamine), Diuretics.

3️⃣ Septic Shock (Infection)

* Cause: Severe systemic infection (Sepsis).
* Signs: Hypotension, Warm/Flushed skin (Early phase), High Fever or Hypothermia.
* Treatment: IV Antibiotics (after blood culture), Fluids, Vasopressors (Norepinephrine).

4️⃣ Anaphylactic Shock (Allergy)

* Cause: Severe allergic reaction (Food, Drug, Bee sting).
* Signs: Wheezing/Stridor, Urticaria (Hives), Hypotension.
* Drug of Choice: Epinephrine (Adrenaline) IM.

5️⃣ Neurogenic Shock (Nerve Failure)

* Cause: Spinal cord injury (T6 or above).
* Signs: BRADYCARDIA (The only shock with a slow heart rate) and Hypotension.

📌 STAGES OF SHOCK

1. Initial: Subclinical; cells begin to switch to anaerobic metabolism (Lactic acid rises).
2. Compensatory: Body tries to fix the problem. Tachycardia occurs to maintain CO.
3. Progressive: Compensatory mechanisms fail. Hypotension starts. Vital organs suffer.
4. Irreversible: Organ damage is so severe that death is inevitable.
(AAYUSHMAN AAROGYA MANDIR)
📌 NURSING PRIORITIES

* Position: Modified Trendelenburg (Supine with legs elevated 20°) to increase venous return to the heart. *(Note: Not for Cardiogenic shock!)*.
* Oxygen: High-flow oxygen to maximize tissue delivery.
* IV Access: Two large-bore IV cannulas (16G or 18G).
* Monitoring: Check Urine Output (Best indicator of vital organ perfusion). Goal: > 30 mL/hr.

📌 EXAM QUICK POINTS

✔️ Drug of Choice for Anaphylaxis → Epinephrine.
✔️ Only Shock with Bradycardia → Neurogenic Shock.
✔️ Early sign of Shock → Tachycardia & Restlessness.
✔️ Late sign of Shock → Hypotension.
✔️ Best indicator of Organ Perfusion → Urine Output.
✔️ Fluid of Choice (Hypovolemic) → Lactated Ringer's (RL).
ht

2 months ago | [YT] | 9

sribella@7744

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4 months ago | [YT] | 2

sribella@7744

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5 months ago | [YT] | 21

sribella@7744

Dear Candidate,

Admit Card download will start from 9th Oct 2025 after 6:00 PM.

Note- For those candidates who are not able to login and download admit card we will share HT link please ask team to share with candidates case to case basis post verification of details.

Regards,
RMLIMS Helpdesk

8 months ago | [YT] | 5

sribella@7744

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sribella@7744

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9 months ago | [YT] | 10

sribella@7744

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10 months ago | [YT] | 3

sribella@7744

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11 months ago | [YT] | 26

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11 months ago | [YT] | 7

sribella@7744

DSSSB POST CODE 90/23
Staff Nurse Gr A Exam
👉 Check answer key
👉 File objections

👉 Date 15/07/25 to 19/07/2025
👉 Objection Link
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Helpline no 8005933343

11 months ago | [YT] | 2