. 1Dr. M. S. Raju, 2Dr. K. Jhansi Padma, 3Dr. Ganga Lakshmi Mounika, 4Dr. Manasa Raman 1HOD department of Pediatrics, Rangaraya Medical College, Kakinada 2Assistant professor, Department of Pediatrics, Rangaraya Medical College, Kakinada 3Final year Post graduate, Rangaraya Medical College, Kakinada. 4MD Pediatrics, Rangaraya Medical College ABSTRACT: BACKGROUND: Shock is a common pediatric emergency, the time period between the onset of shock and that for initiation of treatment is an

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... factor that determines the outcome. Constant observation with timely monitoring of necessary clinical and laboratory parameters, determine and guide the therapeutic intervention which defines the outcome. OBJECTIVE: This study is done to find out the various causes of shock and assess the outcome concerning the clinical and monitoring parameters. RESULTS: Children presenting with shock constitute 1.3%. Septic shock constitutes about 2/3rds of the cases with 65.5%. Septic shock is a combination of hypovolemic & distributive types of physiology. Followed by cardiogenic shock with 17.3%, hypovolemic shock with 16.3%. CONCLUSION: Shock is a major paediatric emergency due to varied etiologies and its early diagnosis along with prompt goal directed treatment in the phase of compensated shock will avoid decompensation and thus improve the outcome. KEYWORDS: Cardiogenic shock, Distributive shock, Hypovolemic Shock, Septic shock, Outcome