00205 Risk for shock

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00205 Risk for shock

Definition of the NANDA label

Risk of inadequate blood supply to body tissues that can lead to life-threatening cellular dysfunction.

Susceptible to an inadequate blood flow to the body’s tissues that may lead to life-threatening cellular dysfunction, which may compromise health.

Risk factors

• Hypotension.
• Hypovolemia.
• Hypoxemia.
• Hypoxia.
• Infection.
• Sepsis.
• Systemic inflammatory response syndrome (SIRS).

Associated condition

• Hypotension
• Hypovolemia
• Hypoxemia
• Hypoxia
• Infection
• Sepsis
• Systemic inflammatory response syndrome (SIRS)

NOC

• Circulatory state.
• Status of vital signs.
• Neurological status.
• Electrolyte and acid-base balance.
• Water balance.
• Hydration.
• Sensitive function: cutaneous.
• Tissue integrity: skin and mucous membranes.
• Tissue perfusion: peripheral.
• Urinary elimination.

NIC

• Management of dysrhythmia.
• Shock management: cardiac.
• Hemodynamic regulation.
• Circulatory precautions.
• Management of vital signs.
• Improved cerebral perfusion.
• Neurological monitoring.
• Electrolyte management.
• Fluid / electrolyte management.
• Handling of liquids.
• Peritoneal dialysis therapy.
• Hemodialysis therapy.
• Hemofiltration therapy.
• Management of urinary elimination.
• Probing.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition if no risk factors are developed.

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