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Abstract Septic Shock is known as tissue hypoperfusion that occurs due to septicemia from an invading organism leads state of tissue hypoxia, multi organ failure and death from such conditions, cleared vision of its Pathophysiology about the nature of causative organism either bacterial or fungal with or without viral element, Also about the sequential cascade of the human immune system that defend against the invading organism focusing on the immune dysfunction that occur resulting in progression from septicemia or bacteremia to septic shock (Kumar et al., 2006). Septic shock needed to know its main lines of treatment of EGDT describing the main bulk of the therapy of intravenous fluids, vasopressors, inotropes, Corticosteroids, APC and antibiotics beside the supportive treatment control of anemia and hyperglycemia (Rivers et al., 2001). Septic shock treatment deals with some conditions that patients have persistent hypoperfusion despite of the vasopressor support, here comes the role of corticosteroids in improving these patients by rising their blood pressure and if they dependable on mechanical ventilators they can be weaned preventing their deterioration to ARDS that has high mortality index compared to other causes of mortality of septic shock. (Sivabalan et al., 2008) |