Emergency Nursing Pediatric Course (ENPC) Home Practice Exam

The signs indicative of septic shock in children include altered mental status, tachycardia, hypotension, and decreased urine output. Each of these symptoms points to the body's systemic response to a severe infection, which can lead to impaired organ function.

Altered mental status may manifest as confusion, lethargy, or irritability, reflecting inadequate cerebral perfusion due to reduced blood volume and pressure. Tachycardia is a compensatory mechanism as the heart attempts to maintain adequate circulation in the face of hypotension. Hypotension, or low blood pressure, is a critical sign of septic shock as it suggests a failure to adequately perfuse vital organs, which can lead to organ dysfunction and failure if not addressed promptly. Decreased urine output is another significant indicator, as the kidneys may become less perfused due to hypotension, leading to oliguria or anuria, further emphasizing the severity of the child's condition.

Recognizing these signs is crucial because septic shock is a life-threatening emergency that requires immediate and appropriate medical intervention to prevent irreversible damage and improve outcomes for the child.