Distributive shock
| Distributive shock | |
|---|---|
| Synonyms | Vasodilatory shock |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Hypotension, tachycardia, warm skin, altered mental status |
| Complications | Multiple organ dysfunction syndrome, death |
| Onset | Sudden |
| Duration | Variable, depending on treatment |
| Types | N/A |
| Causes | Sepsis, anaphylaxis, neurogenic shock, adrenal insufficiency |
| Risks | Severe infection, allergic reaction, spinal cord injury |
| Diagnosis | Based on clinical presentation and hemodynamic monitoring |
| Differential diagnosis | Hypovolemic shock, cardiogenic shock, obstructive shock |
| Prevention | N/A |
| Treatment | Intravenous fluids, vasopressors, treatment of underlying cause |
| Medication | N/A |
| Prognosis | Variable, depends on cause and response to treatment |
| Frequency | Common in intensive care unit settings |
| Deaths | N/A |
Distributive shock is a medical condition characterized by abnormal distribution of blood flow in the smallest blood vessels, resulting in inadequate supply of blood to the body's tissues and organs. It is one of the four types of shock in the human body, the others being cardiogenic shock, hypovolemic shock, and obstructive shock.
Causes
Distributive shock can be caused by several conditions, including sepsis, anaphylaxis, and spinal cord injury. These conditions can lead to a decrease in systemic vascular resistance, causing blood to be improperly distributed throughout the body.
Symptoms
Symptoms of distributive shock can vary depending on the underlying cause. Common symptoms include hypotension, tachycardia, and altered mental status. Other symptoms may include warm skin, fever, or a rapid heart rate.
Diagnosis
Diagnosis of distributive shock typically involves a physical examination and a review of the patient's medical history. Additional tests may be performed to determine the underlying cause of the shock, such as blood tests, imaging studies, or a lumbar puncture.
Treatment
Treatment of distributive shock aims to correct the underlying cause of the shock, restore blood flow to the tissues, and prevent organ damage. This may involve medications to increase blood pressure, intravenous fluids, and, in severe cases, life support measures such as mechanical ventilation.
Prognosis
The prognosis for distributive shock depends on the underlying cause and the patient's overall health. With prompt and appropriate treatment, many patients can recover fully. However, in severe cases, distributive shock can lead to organ failure and death.
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Contributors: Prab R. Tumpati, MD