Progression of Shock

• Signs and Symptoms of Compensated shock

  • Agitation
  • Anxiety
  • Restlessness
  • Feeling of impending doom
  • Weak, rapid (thready) pulse
  • Clammy (pale, cool, moist) skin
  • Pallor, with cyanosis about the lips
  • Shallow, rapid breathing
  • Nausea or vomiting
  • Capillary refill of longer than 2 seconds in infants and children
  • Marked thirst
  • Narrowing pulse pressure
• Signs and Symptoms of Decompensated shock (7)

  • Falling blood pressure (systolic blood pressure of 90 mm Hg or lower in an adult)
  • Declining mental status, altered level of consciousness
  • Labored or irregular breathing
  • Ashen, mottled, or cyanotic skin
  • Thready or absent peripheral pulses
  • Dull eyes, dilated pupils
  • Poor urinary output