Shock is a systemic state of lowShock is a systemic state of lowtissue perfusion, which istissue perfusion, which isinadequate for normal cellularinadequate for normal cellularrespiration. With insufficientrespiration. With insufficientdelivery of oxygen and glucose,delivery of oxygen and glucose,cells switch from aerobic tocells switch from aerobic toanaerobic metabolism. If anaerobic metabolism. If perfusion is not restored in aperfusion is not restored in atimely fashion, cell death ensues.timely fashion, cell death ensues.