A 68-year-old female asked:
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if the patient who is suffering from septic shock gets worse after an attempt of dialysis, what are other options available to be considered?

2 doctor answers
Dr. Gurmukh Singh
48 years experience Pathology
Consult intensivist: This issue is too complicated to be addressed in this forum. You would do well to consult with a specialist in intensive care.
Answered on Nov 29, 2014
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Dr. Jack Rubin
47 years experience Nephrology and Dialysis
Dialysis and shock: Any patient (P) with septic shock is gravely ill. Kidneys stop working when the blood pressure drops leading into renal failure. The worsening of the P could be due to other factors other than hemodialysis. One of them is the overwhelming bacterial infection present in the patient. If the BP is too low for dialysis, continuous renal replacement therapy may be an option, ask the P's docs.
Answered on May 21, 2019
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Dr. Tony Ho answered
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Yes: Because septic shock is distributive, there is often a large amount of swelling.
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