Question

12 yo

Hx: Acute lymphoblastic leukemia
Assessment: Responsive, mild increase in work of breathing and bounding pulses
VS: Temp 102.2 F, HR 118, Resp 36, BP 100/40, Pulse ox 96% on RA
Interventions: NRB Mask 100% oxygen

Labs document a lactic acidosis

Based on hx, assessment, & lab which type of shock does this patient most likely have?

Answer 1

The patient is most likely experiencing septic shock, indicated by symptoms and lab results, including lactic acidosis, suggestive of systemic infection and compromised tissue perfusion.

Step-by-step explanation:

The patient with a history of acute lymphoblastic leukemia (ALL), presenting with fever, tachycardia, increased work of breathing, bounding pulses, and a low blood pressure, is most likely experiencing septic shock. The presence of lactic acidosis supports this diagnosis, as it indicates tissue hypoperfusion and anaerobic metabolism.

Septic shock is a type of distributive shock that occurs due to a systemic infection leading to vasodilation, increased capillary permeability, and hypotension, all of which can cause a decrease in tissue perfusion and organ dysfunction. Aggressive antibiotic therapy alongside supportive care with fluids and vasoactive agents is essential for the management of septic shock.