The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle collision and narrowing pulse pressure is most important finding for the PN to report to the charge nurse.
As shock progresses, intromission within the microcirculation becomes marginal despite offsetting changes, and also the signs of decompensated shock become pronounced, like arrhythmia and narrowing pulse pressure. Reporting it immediately should be done.
Symptoms of shock after a motor vehicle collision include cold, clammy skin, rapid heart rate, fast, shallow breathing, excessive sweating, dizziness, seizures, confusion and loss of consciousness.
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