NCLEX Prioritization
Shock States
A state of systemic hypoperfusion resulting in cellular dysfunction.
Priority Interventions
- Position flat with legs elevated (unless cardiogenic shock).
- Establish two large-bore IV access points for rapid fluid resuscitation.
- Administer IV fluids (crystalloids) or vasopressors as ordered.
- Frequent assessment of urine output (target >0.5 mL/kg/hr).
Differential Considerations
- Cardiogenic: Avoid fluid overload; monitor pulmonary edema.
- Hypovolemic: Focus on fluid replacement and hemorrhage control.
- Anaphylactic: Immediate epinephrine and airway management.
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