What are the clinical manifestations of septic shock?

Septic shock is a non-infectious disease, also known as septic shock. The main site of disease is the whole body, and the general population can suffer from it. This disease is very harmful to the human body. If left untreated, it can induce complications such as cerebral edema and respiratory distress syndrome (RDS), with relatively high morbidity and mortality rates. So how do you know if you have septic shock? Let’s take a look at the clinical manifestations of septic shock.

Common symptoms of septic shock include decreased number of nail fold capillary loops, rapid breathing, alkaline urine, hypothermic coma, irritability, and cold and wet extremities.

1. Symptoms

Except for a few cases of high-output, low-resistance shock (warm shock), most patients have symptoms of sympathetic nerve excitement: the patients are still conscious, but irritable, anxious, nervous, with pale complexion and skin, mild cyanosis of the lips and nail beds, and cold and wet extremities. There may be nausea and vomiting. Decreased urine output. The heart rate increases, the breathing is deep and rapid, the blood pressure is normal or low, and the pulse pressure is weak. Examination of the fundus and nail fold microcirculation may reveal arterial spasm.

As shock develops, the person may become agitated or confused. Breathing is rapid and shallow. Heart sounds are dull. The pulse is rapid and weak and disappears with slightly heavier pressure. Superficial venous collapse. Blood pressure drops, with systolic pressure falling below 10.6 kPa (80 mmHg); for those with existing hypertension, blood pressure drops 20% to 30% from the baseline level, and pulse pressure is low. The skin is cold and clammy, cyanotic, and often noticeably blurry. Less urine output or no urine output.

In the late stage of shock, DIC and failure of important organs may occur.

2. Diagnosis

For patients with some infectious diseases who are prone to complications of shock, the changes in their condition should be closely observed, and blood counts, pathogen tests, urine routine and renal function tests, blood biochemistry tests, serum electrolyte measurements, serum enzyme measurements, blood rheology and DIC-related tests should be tested in order to make a diagnosis.

Through the above introduction to the symptoms of septic shock, everyone can check to see if they are suffering from this disease. If you unfortunately suffer from septic shock, what we should do is to eliminate the cause of shock as soon as possible, pay attention to dietary care (high-calorie, high-vitamin liquid diet), keep the airway open, and secondly, go to the hospital for examination and treatment in time.