Vasodilatory shock
| Vasodilatory shock | |
|---|---|
| Synonyms | Distributive 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 | Infection, allergic reaction, spinal cord injury, adrenal crisis |
| Diagnosis | Clinical assessment, hemodynamic monitoring |
| Differential diagnosis | Hypovolemic shock, cardiogenic shock, obstructive shock |
| Prevention | N/A |
| Treatment | Intravenous fluids, vasopressors, antibiotics (if sepsis), corticosteroids (if adrenal insufficiency) |
| Medication | N/A |
| Prognosis | Variable, depends on underlying cause and response to treatment |
| Frequency | Common in intensive care units |
| Deaths | N/A |
Vasodilatory shock is a type of shock that is characterized by a decrease in vascular resistance, leading to a drop in blood pressure. This can be caused by a variety of conditions, including sepsis, anaphylaxis, and certain medications.
Causes
Vasodilatory shock can be caused by a variety of conditions, including:
- Sepsis: This is a serious condition that occurs when the body has an overwhelming immune response to an infection. Sepsis can lead to widespread inflammation and blood clotting, which can cause vasodilatory shock.
- Anaphylaxis: This is a severe allergic reaction that can cause vasodilatory shock. Anaphylaxis can cause the blood vessels to dilate, leading to a drop in blood pressure.
- Medications: Certain medications, such as vasodilators, can cause vasodilatory shock. These medications work by relaxing the muscles in the walls of the blood vessels, causing them to dilate.
Symptoms
The symptoms of vasodilatory shock can vary depending on the underlying cause, but may include:
- Low blood pressure
- Rapid heart rate
- Shortness of breath
- Cold, clammy skin
- Confusion or loss of consciousness
Treatment
The treatment for vasodilatory shock typically involves addressing the underlying cause. This may include:
- Antibiotics for sepsis
- Epinephrine for anaphylaxis
- Adjusting or discontinuing the medication causing the shock
In addition, supportive care such as intravenous fluids and vasopressors may be used to help maintain blood pressure and organ function.
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Contributors: Prab R. Tumpati, MD