Doctor insights on:
Antibiotics Can Lead To Septic Shock If Used To Treat
Did you mean bugs?: Antibiotics don't cause septic shock, bacteria do. All kinds of bacteria can do this but most commonly gram-negatives from the urinary or gastrointestinal tract, gram-positives from skin etc infections and the various that cause pneumonia. Antibiotics are used to treat septic shock, together with all other supportive care. ...Read more
A condition in which a person cannot circulate enough blood (carrying oxygen and nutrients) to the vital organs in the body. If shock persists, various parts of the body will stop working, and the person will die. Causes of shock include injuries, excessive bleeding, heart failure, infections, chemical imbalances, ...Read more
Yes: Especially in the initial stages.Get a more detailed answer ›
Can someone explain to me how come patients with septic shock be treated with insulin and corticosteroids?
To improve survival: Steroids may be used in septic shock that persists despite max support. The adrenal may suffer during shock and glucose metabolism is off, necessitating Insulin especially when giving steroids. The steroids are in low to intermediate dose. High dose steroids in septic shock are associated with higer mortality. ...Read more
Inflammation: Septic shock causes wide spread inflammatory response in the body which can be fatal. It causes low blood pressure and poor perfusion through out the body causing damage to multiple organ systems. It can cause respiratory failure by pouring fluid into the air sacs in the lungs (adult respiratory distress syndrome) and can also cause weakening heart pump function furthere complicating matters. ...Read more
Septic shock: The symptoms of septic shock can vary to the individual prior to coming to medical attention, but may involve fever, lethargy, fatigue, nausea, vomiting, headache and weakness, amongst others. Clinical signs may include elevated heart rate, low blood pressure, rapid breathing, decreases urine output, low oxygen saturations, altered mental status, and acid build up in blood stream, to name a few. ...Read more
No problems to coma: Very variable recovery but the younger patients can do very well and be normal. Damage to many tissues will heal (brain doesn't do well after major injury). ...Read more
Septic shock: Treatment for septic shock involves reversal of shock, supportive care and antibiotic therapy. The forms that each of these treatments can take is predicated upon the severity of the shock. Some patients may only require fluid administration along with antibiotics and close monitoring while others may need invasive care in the intensive care unit. ...Read more
Emergency: Its an emmergency.Get a more detailed answer ›
They're related.: Toxic shock syndrome is a specific cause of septic shock. Tss is caused by staph and sometimes strep bacteria which produce a toxin that can injure many organs. Septic shock is when an infection overwhelms the immune system and causes exaggerated inflammation usually due to bacterial infection, but sometimes viruses or fungal infections as well. If not corrected it has a high fatality rate. ...Read more
Depends: Depends on the patient's severity of disease, e.g. Number of organ systems affected; age and comorbidities. Normally, the patient will spend a few days on the general medical ward after being discharged from the ICU and then go to rehab for 2-3 weeks. But these are just very general guidelines. ...Read more
Not very specific:
Hyperglycemia can be a sign of inflammation or systemic stress. This can be caused by many, many conditions, one of which can be septic shock. But, really any condition can also cause hyperglycemia: pneumonia, heart attack, stroke, blood clots, etc. So, it is not a good marker to tell if you have septic shock.
Sometimes, however, HYPOglycemia (too low) can be associated with septic shock. FYI. ...Read more
Many: Too many to list, there are probably hundreds of mediators that are thought to play some role in septic shock, not just one. A gas called Nitric Oxide made by many different kinds of cells is important in causing the low blood pressure since it causes blood vessels to dilate, but there are multiple other substances involved. ...Read more
Treat infection: Sepsis is when the infection or its effect involves the whole body. Sepsis is prevented by preventing infection or treating infection. When the inflammatory process is overwhelming it depresses the function of the heart, there is vasodilation causing the shock. Fluids, treat infection, vasoconstrictors and meds to improve heart functions can be given. ...Read more
Not an indicator: There is a association with hyperglycemia and worse survival with sepsis. So tight blood sugar control was thought better. Sometime Insulin infusions are used to control blood sugars. So hyperglycemia not an indication for sepsis but rather a consequence of sepsis and infections sometimes. Need to have adequate bs control. ...Read more
VOLUME, PRESSORS, ABS: All cause low bp. Cardiogenic from the heart pump not working ie the muscle is deteriorating. Hypovolemic is caused by loss of fluids or poor PO intake and is associated with infection sometimes. Septic shock is low BP from severe infection especially in the blood stream. Sepsis and hypovolemia need lots of fluids, possibly pressors to support bp. Cardiac may need Dobutamine and assist devices. ...Read more
If the patient who is suffering from septic shock gets worse after an attempt of dialysis, what are other options available to be considered?
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. ...Read more