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Obstructive Shock Signs & Symptoms

Shock is a condition in which the cells and organs of the body do not receive enough oxygen. Shock can result in cell and organ dysfunction and death. Obstructive shock is characterized by a mechanical defect that results in the interference of filling and emptying of the heart and large vessels.

  1. Mental Status

    • Obstructive shock, as with other types of shock, often results in an altered mental status. People suffering from shock will often be very confused. They often complain of being lethargic, weak and drowsy. Patients will exhibit a strong desire to sleep and could enter into a coma in more advanced stages of obstructive shock if untreated.

    Vitals

    • Blood pressure and pulse tend to be very low. Blood pressure may be unobtainable during shock. Pulse can generally only be palpated at the femoral and carotid arteries because these are closer to the heart. If you can find a pulse, it will more than likely be weak and very rapid. An increased breathing rate may accompany obstructive shock and could lead to hyperventilation.

    Appearance

    • Skin will appear gray or bluish, very pale and will be cool and clammy. Hands, feet, earlobes, nose and nail bed are excellent indicators of shock. They often exhibit cyanosis and decreased blood flow earlier than other parts of the body. Capillary filling is also reduced with obstructive shock. This can be easily measured by pressing on the fingernail; the nail bed will turn white but color will return when released, indicating capillary filling. The quicker the color returns after release, the more efficient capillary filling is.

    Other

    • Patients may exhibit other signs and symptoms of obstructive shock. Chest pain, fever, headache, abdominal pain and swelling may be observed. Signs and symptoms will vary according to the individual patient, type of obstruction causing shock and the severity of shock that the individual is experiencing. Any signs or symptoms indicating shock should be addressed immediately by a medical professional.

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