Stage 4: Decompensated Shock, reversible


Now everybody call this "SHOCK" because hypotension is always present at this stage., Normotension can only be restored with intravenous fluid (if indicated) and/or vasopressors. If you have not diagnosed the cause of shock by now, it will be very difficult to treat your patient. The reason? --- organs now suffer MODS/MODFS and acidosis is becoming rapidly more and more severe.

This systemic suffering worsens shock itself (vicious cycles) and leads to catastrophic microvascular damage, D.I.C. and S.I.R.S.

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