Advanced Medical Life Support (AMLS)

A quadriplegic patient exhibiting fever, tachycardia, and dark yellow cloudy urine is most likely experiencing which type of shock?

1. Hypovolemia

2. Septic

3. Obstructive

4. Cardiogenic

The correct answer is: Septic

The symptoms presented by the quadriplegic patient—fever, tachycardia, and dark yellow cloudy urine—are indicative of septic shock. This type of shock occurs as a result of a systemic infection, often leading to severe inflammation and the release of toxins into the bloodstream. The fever is a common response to infection, while tachycardia reflects the body's attempt to compensate for decreased perfusion and maintain adequate circulation. Dark yellow cloudy urine can suggest the presence of infection in the urinary tract, which is particularly relevant for patients with impaired mobility or those who may be using catheters, increasing their risk of urinary infections. In the context of this patient's quadriplegia, it is essential to recognize that such individuals are at an elevated risk for infections due to complications arising from immobility and possible catheter use, making septic shock a likely scenario. The presence of systemic inflammatory response signs, along with the specific symptoms noted, strongly supports septic shock as the underlying cause of the patient's condition.