vital signs analysis

Which vital sign changes are often indicative of compensatory (early) shock? 

increased heart rate and increased respiratory rate

Pulse: 89, RR: 31, SPO2: 100% on room air, BP 151/86, Temp: 37.2°C is a sign of

diabetic ketoacidosis

Pulse: 92, RR: 28, SPO2: 88% on room air, BP 151/90, Temp: 37.8°C is a sign of

pneumonia with acute respiratory failure

Pulse: 70, RR: 8, SPO2: 80% on room air, BP 132/70, Temp: 36.8°C is a sign of

opiate overdose

HR: 115, RR: 26, SPO2: 98% on room air, BP: 95/83, Temp: 36.8°C

hypovolemic shock

Which of these patients is the highest priority to assess first?

 

A 33 year old male with a head laceration that occurred 2 days ago. Pt is A/O with HR of 42.

 

A 25 year-old woman with a history of panic attacks complaining of new chest pain. EKG has been completed in the waiting room. Pt is pacing restlessly. HR 120, RR 28.

 

A 70 year-old woman complaining of indigestion with sweat on her forehead who has started to feel mildly confused in the past half hr. HR 52, RR 20

 

A 62 year-old male with a purulent cough, shortness of breath on exertion, and sharp chest pain with deep inspiration. RR 18, HR 82, Temp 37.4°C, SPO2 92% on RA.

 

A 70 year-old woman complaining of indigestion with sweat on her forehead who has started to feel mildly confused in the past half hr. HR 52, RR 20

What factors trigger SIRS (Systemic Inflammatory Response Syndrome) protocol in with suspected infection? Why?

 

RR, HR, WBC, Temp. Elevated RR and HR are signs of compensatory shock and elevated WBC and Temp are indicators of infection.