Goal and Learning Outcomes

This course has been approved for 4 hours by the Commission on Case Manager Certification for 2007, 2008, 2009, 1/15/10 through 12/31/10, 2011, 2012, and 2013.
The purpose of this course is to provide nurses with important information about shock and shock states, including cardiogenic, hypovolemic, anaphylactic, neurogenic, and septic shock. The pathophysiology, clinical signs and symptoms, and trends in treatment are reviewed. Case studies highlight important components of patient assessment, diagnosis, and treatment.
After studying the information presented here, you will be able to —
  • Identify the alterations in tissue perfusion and cellular metabolism that occur in shock states.
  • List two risk factors for the development of cardiogenic shock.
  • Distinguish the stages of hypovolemic shock.
  • Describe the clinical presentation of anaphylactic shock.
  • List three risk factors for the development of septic shock.
  • Describe how septic shock can lead to multiple organ dysfunction syndrome.
  •  Identify treatment goals for shock.
  • Discuss the pathophysiology of sepsis including the role of pro-inflammatory and antiinflammatory mediators in the systemic inflammatory response syndrome (SIRS).
  • Describe new evidence-based guidelines for the management of sepsis.
  • Discuss the role of the nurse in identifying and managing patients with shock states.
The author and planners have declared no real or perceived conflict of interest that relates to this educational activity. OnCourse Learning guarantees that this education program is free from bias.

Course Authors

Accreditation Information


In support of improving patient care, OnCourse Learning is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at AreYouRenewalReady.com and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.