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Occurs as a result of maldistribution of an adequate circulating blood volume with the loss of vascular tone or increased permeability.

Ex: Anaphylactic - release of antihistamines
Septic Shock - systemic release of bacterial endotoxins, resulting in increased vascular permeability and vasodilation. Neurogenic shock - spinal cord injury results of loss in sympathetic nervous system control of vascular tone.

Goal: Volume replacement and vasoconstriction

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Final answer:

Vascular shock occurs due to loss of vascular tone resulting in arteriole dilation, and can be caused by sepsis, anaphylactic reactions, or spinal injuries. Treatments focus on fluid replacement, medications to improve vascular tone, and addressing the underlying cause. Obstructive shock, another type, requires treatments relevant to the physical obstruction present.

Step-by-step explanation:

Vascular Shock

Vascular shock is a type of shock that occurs when arterioles lose their normal muscular tone and undergo dramatic dilation. This condition can be triggered by various events including sepsis, severe allergic reactions (anaphylactic shock), or spinal cord injuries (neurogenic shock).

Treatment primarily focuses on volume replacement through intravenous fluids and the administration of inotropic or pressor agents to restore vascular tone. Additionally, identifying and treating the underlying cause is crucial, which may involve the use of antibiotics, antihistamines, or steroids.

Anaphylactic shock is a severe allergic reaction causing widespread histamine release and vasodilation, while neurogenic shock follows cranial or spinal injuries impacting the cardiovascular control centers. Similarly, septic shock is a systemic inflammatory response to infection leading to increased vascular permeability and vasodilation. These conditions demonstrate the importance of the vascular system's role in maintaining blood pressure and circulation.

Obstructive shock is another form of shock which occurs when there is a physical blockage in the circulatory system, like a pulmonary embolism, and may require treatment such as anticoagulants, fluid removal from cavities, or surgery. Regardless of type, untreated shock can lead to a devastating positive-feedback loop, culminating in patient death. Prompt recognition and aggressive treatment are essential.

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