Septic Shock (Aetiology - Pathogenesis - Clinical Picture

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Septic Shock (Aetiology - Pathogenesis - Clinical Picture - Treatment)

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Thursday, 10 December 2009 10:01

¦Aetiology: Gram-ve & less commonly gram +ve septicemia.
¦Types:
1-Hyperdynamic (Worm) septic shock:occurs in serious Gram-negative infections.
2-Hypovolemic hypodynamic (Cold) septic shock:occurs if severe sepsis or endotoxaemia is allowed to persist
¦Cl. Picture:
·Worm type: at first patient has a normal or increased cardiac output with tachycardia and warm, dry skin, but the blood is shunted. This leads to tissue anoxia and damage by anaerobic metabolism ® Multiple Organ Failure Syndrome.
·Cold type: The patient becomes cold, clammy, drowsy, and tachypnoeic but still can be converted to worm shock by the adminstration of several liters of plasma or other colloid solution.
¦Treatment: As oligaemic shock +Antibiotics + heparin.
SOURCE: Prof. AYMAN SALEM'S BOOK
Copyright: (Vascular Society of Egypt ) & (Medical Educational web)
Not to be reproduced without permission of Vascular Society of Egypt

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