Question

Your patient is a​ 23-year-old man with a gunshot wound to the abdomen and an exit wound in the right flank. He responds to verbal​ stimuli; has​ pale, cool, diaphoretic​ skin; and has a heart rate of​ 128, respirations at​ 24, and a blood pressure of​ 82/60. These findings indicate which of the following kind of​ shock?

A. Compensated
B. Neurogenic
C. Decompensated
D. Irreversible

Answer 1

The patient with a gunshot wound to the abdomen, cool and clammy skin, tachycardia, and hypotension is likely suffering from hypovolemic shock, which is characterized by significant loss of blood volume leading to decreased tissue perfusion.

Step-by-step explanation:

The findings of a gunshot wound to the abdomen with an exit wound in the right flank, responsiveness to verbal stimuli, pale, cool, diaphoretic skin, a heart rate of 128, respirations at 24, and a blood pressure of 82/60 indicate the patient is likely experiencing hypovolemic shock. This type of shock occurs when there is a significant loss of blood volume, leading to decreased perfusion of tissues and vital organs. The rapid heart rate, weak and thready pulse, cool and clammy skin, rapid and shallow breathing, and hypotension are classic signs of this shock state, especially following a traumatic injury such as a gunshot wound that could result in substantial hemorrhage. Treatment typically involves rapid intravenous fluid replacement and the administration of medications to support blood pressure and improve tissue perfusion.