Patient (condition)
 
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A method to classify shock.
1. Distributive/Dilated (sepsis, immunological, anaphylaxis, endocrine, neurogenic, neuraxial block),
2. Cardiogenic (contracility, arrhythmia, valvular disease, intracardiac shunt, constrictive, air lock),
3. Obstructive (pulmonary embolus, pneumothorax, pulmonary hypertension),
3. Hypovolaemic (excessive losses, inadequate intake, third spacing)

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Inadequate tissue perfusion to meet the metabolic demands of the body.

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Consider adrenal insufficiency in patient with unexplained persistent hypotension. Manage with steroid replacement.

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