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A 64-year-old male asked:

I believe that abx are usually given quickly after there is a strong suspicion of sepsis. how quickly, in your opinion, should n/s drip be given? why?

4 doctor answers8 doctors weighed in
Dr. Donald Colantino
Internal Medicine 61 years experience
Saline: In cases of severe sepsis iv fluids are needed and started asap along with iv antibiotics. The goal is to avoid dehydration, low bp and kidney failure. The rate of infusion of saline or 5%dextrose with normal or half normal saline depends upon blood pressure, cardiorenal status,ability of patient to take by mouth and degree of dehydration or fluid loss upon admission to the hospital.
Dr.
A Verified Doctoranswered
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Septic shock: During sepsis, the body goes into shock and the blood pressure drops. If there is suspicion of sepsis, an intravenous line is put in and a normal saline drip is commenced immediately. If there is a simple infection without evidence of septic shock then it is not necessary to start a normal saline drip straight away. It's on a case by case basis
Dr. Katharine Cox
Pediatric Emergency Medicine 45 years experience
Saline/sepsis: Isotonic solutions are part of the initial management of sepsis along with antibiotics and vasopressors. It is not a drip but a bolus that is used. All the best.
Dr.
A Verified Doctoranswered
A US doctor answeredLearn more
Sepsis: Depends on the clinical situation. They may need a lot or none. If they are not volume depleted and have a normal blood pressure there is little indication for fluids. There is a risk if the patient has a bad hear that the fluids could cause other problems.

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Last updated Oct 22, 2020

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