Shock States - PT505

Shock States

Knowing the Similarities and Differences is Vital

by Nancy Mannion Bonalumi, DNP, RN, CEN, FAEN
(4.5 / 344 ratings )

This course is credentialed for:
Physical Therapy (1.00 Hour(s))

Price: $19.00
CE-PRO Price: $9.50


Early identification of patients at risk for shock facilitates diagnosis and treatment. Clinicians can assess patients for the clinical signs of shock by frequently monitoring vital signs, including urinary output and skin color and perfusion, and noting signs of organ system dysfunction. Promoting patient comfort and providing patient and family education about shock and its treatment are other important aspects of nursing care. Enforcing infection control techniques can reduce nosocomial infections, a common source of sepsis for acutely ill patients. As key members of the healthcare team, nurses and physical therapists play an important part in the management of patients with shock.


The purpose of this shock state continuing education program for nurses and physical therapists is to increase understanding of the four types of shock states, including risk factors, pathophysiology, signs and symptoms, and treatment. After studying the information presented here, you will be able to:
  • Describe the four types of shock
  • Discuss the pathophysiology of shock states
  • Discuss the treatment goals for each type of shock

Accreditation Information
This course is intended for multiple professions, including nurses and physical therapists.
Physical therapists: Take this version of the course to ensure you receive appropriate credit.
For the version accredited or approved for another profession, go to your specific profession at or If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at and search for this topic title.
OnCourse Learning is an approved sponsor by the NY State Ed. Dept. of CE for PT and PTA from 10/21/09 to 10/20/21.
This activity is provided by the TX Board of PT Examiners Accredited Provider GED012010TPTA2012004 for 01/01/2010 to 01/31/2013; 1601004 for 02/01/2013 to 01/31/2016; and 1902004TX for 02/01/2016 to 01/31/2019 and meets continuing competence requirements for PT and PTA licensure renewal in TX. The assignment of TX PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
OnCourse Learning is recognized by the Physical Therapy Board of CA as an approved reviewer and provider of continuing competency courses for the state of CA.
OnCourse Learning is a licensed PT CE sponsor (#216.000275) with the IL Dept. of Financial and Professional Regulation from July 2013 through 9/30/2018.
This course has been approved as meeting the continuing education requirements for PTs and PTAs by the OH PT Association (approval no. 10S1381 for 10/01/10 to 10/01/11, 11S1509 for 10/02/11 to 10/02/12, 12S1702 for 10/03/12 to 10/03/13; 13S1858 for 10/04/13 to 10/04/14; 14S1723 for 10/05/14 to 10/05/15; 15S2270 for 10/06/15 to 10/06/16; 16S1869 for 10/07/16 to 10/07/17 17S6274 for 10/8/17 to 10/8/18), the FL PT Association (approval CE100015866, exp. date 12/31/10; CE110015872 for 01/01/11 to 12/31/11; CE120017779 for 01/01/12 to 12/31/12, CE130019699 for 01/01/13 to 12/31/13; CE140021503 for 01/01/14 to 12/31/14; CE150023676 for 01/01/15 to 12/31/15; CE16-27090 for 01/01/16 to 12/31/16; CE17-518121 for 01/01/17 to 12/31/17); the TN PT Association (approval no. 3429 for 10/1/10 to 9/30/11, 4020 for 10/01/11 to 09/30/12, 4556 for 10/01/12 to 09/30/13; 5245 for 10/01/13 to 09/30/14; 5810 for 10/01/14 to 09/30/15; 2136 for 10/01/15 to 09/30/16; 2016-404 for 10/01/16 to 09/30/17; 2017-417 for 10/1/17 to 9/30/18) for Class 1 CE Requirement; the PA Board of PT (approval no. PTCE002692 for 11/14/11 to 12/31/12, PTCE003888 for 01/01/13 to 12/31/14; PTCE006379 for 01/01/15 to 12/31/16; PTCE010069 for 01/01/17 to 12/31/18); and the NJ Board of PT Examiners (approval 632-2010, exp. date 1/31/12, 117-2012 from 02/01/12 to 01/31/14; 220-2014 for 02/01/14 to 01/31/16; 2016-264 for 02/01/16 to 01/31/18). Approval of this course does not necessarily imply the FL PT Association supports the views of the presenter or the sponsors.
This course has been approved by the MD State Board of PT Examiners for 0.1 CEU for 10/06/11 to 10/06/15; 12/14/15 to 12/14/19 and by the NV State Board of PT Examiners for 0.1 units of CE for 10/25/11 to 07/31/13; 07/31/13 to 07/31/15; 07/31/15 to 07/31/17; 11/29/17 and 7/31/19.
The IL Chapter CE Committee has certified that this course meets the criteria for approval of CE offerings established by The IL PT Association (approval no. 437-3534 for 10/01/10 to 10/01/11, 437-3982 for 10/01/11 to 10/01/12, 437-4510 for 10/01/12 to 10/01/13). According to the Rules for the Administration of the IL PT Act (section 13460.61) published by the IL Dept. of Professional Regulation, a PT or PTA applying for re-licensure in IL can earn a maximum of 50% of their required CE hours from self-study. The hours awarded of this course are designated for self-study CE credit.
Other states may accept this course for meeting their CE requirements. Check with your state association or board.

Course Originally Released on: 11/10/2010
Date of Most Recent Review: 8/18/2017
Course Termination/Update Date: 8/18/2020


Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

This course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

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VIRGINIA C - Holland, PA  ·  Nov 18, 2018
Good information. As a course offered to physical therapists, would be helpful to have scenarios related to physical therapy.
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Carol B - Waccabuc, NY  ·  Oct 21, 2018
Good review of symptoms to report to MD
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Kathryn C - Fort Worth, TX  ·  Apr 09, 2018
Not applicable, no additional comments to add
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Carolyn O - Allison Park, PA  ·  Oct 09, 2017
The course covered the material well.
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Andrew E - Lakeland, FL  ·  Aug 09, 2017
Good succinct information on different types of shock.
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Price: $19.00
CE-PRO Price: $9.50