Question

3 month old

2 day hx of fever, vomiting, and diarrhea
Parents: sleeping much more
VS: Temp: 101F, HR 190, Resp 70, BP 59/29, Pulse Ox 94% on 100% Oxygen
Assessment: Resp: shallow, Cap refill is 4 - 5 sec, Extremities are cool and mottled

What assessment indicates the child has hypotensive shock?

Answer 1

The child's very low blood pressure, high heart rate, rapid respiration, delayed capillary refill time, and mottled extremities indicate hypotensive shock.

Step-by-step explanation:

The assessment that indicates the child has hypotensive shock is the presence of vital signs such as a high heart rate (HR 190), rapid respiration (Resp 70), very low blood pressure (BP 59/29), and a prolonged capillary refill time (Cap refill is 4 - 5 sec). Additionally, physical signs including extremities being cool and mottled further support the diagnosis of hypotensive shock. Hypotensive shock is a form of circulatory collapse where the body is not able to maintain blood pressure adequate enough to support perfusion of the organs, often leading to multiple organ failure if not promptly treated.