A patient arrives on the medical-surgical unit after an open…
A patient arrives on the medical-surgical unit after an open partial hepatectomy and total splenectomy. Her vitals are: BP 118/77, HR 70, T 98.2F (oral), RR 14. An hour later, her vitals are: BP 100/50, HR 89, T 97.1F (oral), RR 19. She is sleeping restfully with good pain control. The next hour, her skin is cool, clammy, and pale and her vitals are: BP 80/41, HR 122, T 96.6F (oral), RR 28. The nurse recognizes this patient is deteriorating. What type of shock is this patient experiencing?