The evaluation of a person with shock requires a history and physical exam.

Physical findings in someone with shock may include:

• Confusion
• Lethargy:
• Excessive sleepiness
• Coma
• Cyanosis
• Excessive sweating
• Low blood pressure
• Pale skin
• Rapid breathing rate
• Rapid pulse

Tests are usually necessary to evaluate shock.

Tests that may be used to evaluate shock include:

• Arterial blood gas analysis
• Blood cultures
• Chest x-ray
• Complete blood count
• Electrocardiogram
• Electrolyte profile
• Kidney profile
• Liver profile
• Urinalysis and urine culture

Invasive hemodynamic monitoring devices may also help physicians evaluate shock.

Invasive hemodynamic monitoring devices:

• Swan-Ganz catheter