M is an 18-year old patient involved in a motor vehicleaccident. M was unrestrained and subsequently ejected from thevehicle. Upon arrival to the emergency department, a FocusedAssessment with Sonography in Trauma (FAST) exam indicated the needfor an emergency laparotomy.
Following the laparotomy, the nurse notes hematuria in theindwelling urinary catheter bag. VS are BP 88/40mmHg, P 130beats/min (weak, thready), RR 30 breaths/min, Temperature 97 F(36.1C) M is also confused, skin is pale and clammy and bowelsounds are absent.
Use the SIRS, Sepsis, and Septic Shock Criteria calculator todetermine if this patient is experiencingSIRS/Sepsis/Shock.
In the forum, discuss what type of shock M is experiencing.Include what your next steps are as the nurse caring for thispatient.