Endotoxic Shock

Endotoxic Shock

(Bacterium shock)- shock resulting from release of endotoxins from gram negative organisms, particularly E. coli. In obstetrics shock is mostly frequently associated with septic criminal abortion. It results in severe septicemia which releases toxins from gram negative organisms.

Sign & Symptoms

·              Hypotension – in proportional to the blood loss.

·              tachycardia ,Cyanosis

·              Cold , moist skin, oliguria – serious sign

·              Mental confusion and coma are terminal manifestations.

Treatment:

·              Blood culture, Urine culture, cervical swabs, throat Swabs.

·              Antibiotic – heavy dose.

·              Intravenous infusion.

·              Monitor electrolyte b alance and  urinary output.

·              Conticorsteroids to combat circulatory failure.

·              Central nervous system monitor.