Signs of septic shock

References:
Phoenix Notes
Peads protocol
Shirley ooi emergency medicine
Internet images

Firdaus and Adnin

 Signs of septic shock
Vital signs: Fever/ hypothermia
Tachycardia
Tachypnoea
Hypotension
Toxic looking
Cold peripheries
Prolonged capillary refilling time
White cell count abnormalities: leukocytosis/ leukopenia AND
there is clinical evidence of infection.
Severe sepsis:
Neurology: Altered sensorium, irritability, agitation, confusion,
unresponsive, coma
Respiratory: Tachypnoea, increase breath effort, apnoea, cyanosis
Renal: Oliguria (urine< 0.5 ml/kg/hour)
 Warm vs cold shock
WARM shock COLD shock
Peripheries Warm, flushed Cold, clammy,
cyanotic
Capillary refill <2 sec >2sec
Pulse Bouncing Weak, Feeble
Heart rate Tachycardia Tachycardia,
bradycardia
Blood pressure Relatively maintained Hypotension
Pulse pressure Widened Narrowed