Signs & symptom of shock

Hypovolemic Septic shock Cardiogenic Neurogenic Anaphylactic

shock shock shock
Head & neck Restless, Restless, Facial cyanosis There may be L.O.C.
anxiety, coma, confusion; Distended neck L.O.C
stupor Later becomes vein
semicomatose
Eye & mouth Dilated pupil Pallor + a tinge of Pallor
Pallor cyanosis occur
later
Skin Cold, sweaty or Warm, Dry, Cold clammy skin Sweats, Urticarial +/-
clammy Flushed; Pruritus
extremities Later becomes
cold & clammy
Also, collapse of
superficial veins
Body Fever 38.3°C to
temperature 41°C
CVS Tachycardia Tachycardia + Chest pain & Bradycardia Hypotension
(Weak rapid bounding pulse, collapse (characteristic) Faint pulse
pulse) Moderate Low BP Weak rapid Low BP
Low BP Later, Pulse pulse
becomes weak and Severe Low b.p.
rapid & there is
severe low BP
RS Tachypnea Tachypnea Dypnea + signs Wheezing
of pulm edema Choking
sensation
Cough
Renal Oliguria, Anuria Oliguria occurs
later
Others Presence of Shivering A feeling of
bleeding Malaise heat
external wound
th
Blue = early features. NOTE: if there is a pre-existing hypovolemia b4 septic shock, the clinical features will be that
of hypovolemic shock with superimposed sepsis
Cardiogenic Intracardiac
- Muscle problems –
Cardiomyopathy, MI
- Valvular defects – stenosis or
Regurgitation
- Septal defects – VSD
- Electrical activity problem –
Arrhythmias
- Drug-induced cardiac toxicity –
Ca-Ch blockers

Signs & symptom of shock

Hypovolemic Septic shock Cardiogenic Neurogenic Anaphylactic
shock shock shock
Head & neck Restless, anxiety, Restless, Facial cyanosis There may be L.O.C.
coma, stupor confusion; Distended neck L.O.C
Later becomes vein
semicomatose
Eye & mouth Dilated pupil Pallor + a tinge of Pallor
Pallor cyanosis occur
later
Skin Cold, sweaty or Warm, Dry, Cold clammy skin Sweats, Urticarial +/-
clammy Flushed; Pruritus
extremities Later becomes
cold & clammy
Also, collapse of
superficial veins
Body Fever 38.3°C to
temperature 41°C
CVS Tachycardia Tachycardia + Chest pain & Bradycardia Hypotension
(Weak rapid pulse) bounding pulse, collapse (characteristic) Faint pulse
Low BP Moderate Low BP Weak rapid Low BP
Later, Pulse pulse
becomes weak and Severe Low b.p.
rapid & there is
severe low BP
RS Tachypnea Tachypnea Dypnea + signs Wheezing
of pulm edema Choking
sensation
Cough
Renal Oliguria, Anuria Oliguria occurs
later
Others Presence of Shivering A feeling of
bleeding ext Malaise heat
wound that
requires attention
Blue = early features. NOTE: if there is a pre-existing hypovolemia b4 septic shock, the clinical features will be that of
hypovolemic shock with superimposed sepsis