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Septic shock

Alternative Names

Bacteremic shock; Endotoxic shock; Septicemic shock; Warm shock

Symptoms

  • Cool, pale extremities
  • High or very low temperature, chills
  • Lightheadedness
  • Low blood pressure, especially when standing
  • Low urine output (due to kidney failure)
  • Palpitations
  • Rapid heart rate
  • Restlessness, agitation, lethargy, or confusion
  • Shortness of breath

Exams and Tests

Blood tests may be done to check for infection, low blood oxygen level, disturbances in the body's acid-base balance, or poor organ function or organ failure.

A chest x-ray may show pneumonia or pulmonary edema.

References

Marx J. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 5th ed. St. Louis, Mo: Mosby; 2002:1957.

Rakel P, ed. Conn’s Current Therapy 2005. 57th ed. Philadelphia, Pa: WB Saunders; 2005:71.

Dellinger RP, Carlet JM, Masur H, et al. Surviving sepsis: campaign guidelines for management of severe sepsis and septic shock. Crit Care Med. 2004;32:858-873.

Review Date: 10/18/2007
Reviewed By: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network.

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