Essay-based scenario assessing your management of an acutely unwell patient.

Main body:
Define the underlying condition and the relevant patho/physiology (GI bleed)
Define shock and briefly outline the types of shock (HYPOVOLAEMIC, CARDIOGENIC, SEPTIC SHOCK) with more emphasis on the type shock to be explored. (Patient is having hypovolaemic shock)
Pathophysiology of shock to be discussed. Discuss stages of shock
A systematic approach to assessment should be demonstrated and in context of the presented case scenario/study. This should also include: (A-E assessment)
Physiological Change: Cardiac output, HR, BP, SVR, JVP, EF, Skin temperature.
– The evidence-based life-threatening interventions/management
– Critically explore the relevant implications – pathophysiological and for practice
The relevant tests (blood tests/investigations/interventions to manage the underlying condition).
Relevant pharmacology
The ongoing nursing care management including the holistic/psycho-social to promote recovery.
Evidence of collaboration and inter-professional working
Recognition of improvement or deterioration and the appropriate actions.