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What is What are the Cardinal features of distributive shock  and explain in detail?
1. Change in mental status 2. Heart rate - Greater than 90 beats per minute (note that heart rate elevation is not evident if the patient is on a beta blocker) 3. Hypotension - Systolic blood pressure less than 90 mm Hg or a reduction of 40 mm Hg from baseline 4.  Respiratory rate - Greater than 20 breaths per minute 5. Extremities - Frequently warm, with bounding pulses and increased pulse pressure (systolic minus diastolic blood pressure) in early shock; late shock may present as critical organ dysfunction 6. Hyperthermia - Core body temperature greater than 38.3 degree celsius 7. Hypothermia - Core body temperate less than 36 degree celsius 8. Pulse oximetry - Relative hypoxemia 9. Decreased urine output