Advertisement

Management of Shock

  • Jacklyn Engelbart
  • Luis J. GarciaEmail author
Chapter

Abstract

Shock is a life-threatening circulatory collapse that occurs as a consequence of a multitude of conditions and can lead to multi-organ failure. Patients experiencing shock may present with hypotension, tachycardia, tachypnea, confusion, oliguria, or with a metabolic acidosis or high serum lactate. Initially, the etiology of the shock is unknown, and the primary focus is to stabilize the patient while rapidly identifying the etiology so the appropriate management can be administered before multi-organ failure and death occur. Each type of shock and its etiology have different management strategies; however they share important similarities which include fluid resuscitation and definitive management of the underlying condition. Patients may present with distributive shock, cardiogenic shock, hypovolemic shock, obstructive shock, or a combination of these known as multifactorial shock.

Keywords

Shock Septic shock Hemorrhagic shock Obstructive shock Distributive shock Cardiogenic shock Anaphylactic shock Adrenal crisis Tension pneumothorax 

Suggested Reading

  1. Rhodes A, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2016. Crit Care Med. 2017;45:486–552.CrossRefGoogle Scholar
  2. Van Diepen S, Katz JN, Albert NM, et al. Contemporary management of cardiogenic shock: a scientific statement from the American Heart Association. Circulation. 2017;136(16):e232–68.PubMedGoogle Scholar
  3. Vincent JL, De Backer D. Circulatory shock. N Engl J Med. 2013;369(18):1726–34.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA

Personalised recommendations