The diagnosis and treatment of endotoxic shock

The management of a severe case of endotoxic shock is a prolonged and strenuous exercise. The initial aim is to achieve, as soon as possible, cardiorespiratory stability and control of the septic focus, thereafter, the provision of fluid and nutrition must be adequate. Constant observation is required so that swift action can be taken if complications such as haemorrhage or renal failure develop, or if there is failure to control the septic focus. The general welfare of the patient, with particular regard to general nursing care, reduction of the risk of secondary infection and reassurance also plays an important part. Efficient treatment requires an organised plan which covers all the relevant aspects and assigns priorities to the critical areas.