Doctor insights on:
Can Sepsis Make Me Infertile
Mistaken: E coli can produce fatal sepsis and or fatal meningoencephalitis. It can also trigger a toxic reaction that shuts down the kidneys (hemolytic uremic syndrome) that can also be fatal. What it does and how it does it vary with the situation. ...Read more
Why is fluid balance important in a pt with sepsis? If a sepsis pt becomes hypernatremic e.g.sodium level 150 mmol/L then does it really matter? Why?
Sepsis: Septic patients get hypovolemic because of vasodilation. A patient with that problem and also hpernatremic is really in deep stuff. Now if you're septic but haven't yet vasodilated but are dehydrated causing hypernatremia from free water deficit and you then vasodilate....well again not good......... ...Read more
E. coli: This bacteria can produce a wide variety of infections which are generally treated with antibiotics to which the particular strain of e. Coli is sensitive and which will reach the site of infection effectively. Sepsis is the body's reaction to infection and may require supportive care beyond the antibiotics. ...Read more
Common: Sepsis with a severe infection is common - to meet the definition you need only have a suspected infection, a heart rate greater than 90, temperature greater than 100.4 or less than 96.8, a respiratory rate greater than 20, or a high or low white blood cell count. ...Read more
Yes: Aftrican americans have higher incidences of sepsis/shock, lower survival rates; it is not clear exactly what the cause is (higher rates of uninsured, poorer/overburdened hospitals in the areas that serve them, indifference or racism by physicians/hospital staff, poorer self care and more reluctance to use the healthcare system). Its likely that all of those play a role. ...Read more
Multiple: Sepsis is the body's genealized inflammatory response to an infection. One of the most notable features is "capillary leak" - fluid leaks from your blood vessels, so you become edematous and need aggressive IV fluid resuscitation. Organ failures may also occur - confusion, low blood pressure, shortness of breath, concentrated and poor urine output. ...Read more
Essentially: Sepsis means an infection in the blood stream demonstrated by blood culture. Septicemia is the same thing-but an older now out of date term used to essentially mean the same thing. Septic shock means the above-infection in bloodstream with low blood pressure and fast heart rate and other lab findings of shock. ...Read more
Infection: sepsis is an infection in the bloodstream that may be associated with multiple system failures. the original source of the infection may come from any organ ...Read more
Greek: It is a greek word (which meant decay, rotting, putrification, etc). ...Read more
Caution advised: Because body temperature can be above 101 F (38.3 C) or below 96.8 F (36 C) in sepsis it may appear as if the symptoms are coming and going. However, this can be a life threatening condition and emergency medical attention is needed until the condition is resolved completely. ...Read more
They can: Mothers transfer antibodies through the placenta.This gives babies transient protection for many minor illnesses.However, babies remain vulnerable to variety of bacteria. These can enter the birth canal & the bag of waters when it opens.If these germs enter babies nasal passages or lungs during labor or delivery, they can later enter the blood & cause sepsis. ...Read more
Extremely rarely.: An IUD (intra-uterine device) is a very effective method of contraception. Though their reputation for causing infection still exists from cases many decades ago, currently iuds are very safe. It is very rare for an IUD to cause sepsis (a uterine infection that spreads into the blood and throughout the body). ...Read more
Wash your hands: Sepsis is not in itself "avoidable" - but you can ensure good general health by eating well, avoiding steroids, and washing your hands. Keeping yourself from getting shot, stabbed or crushed is also a good idea, and keeping dirt out of your wounds is a bonus. If you are diabetic, take your Insulin or other medications and follow a sound diabetic diet. ...Read more
Intensivists: Really, it depends on your hospital and location, but in general critical care boarded physicians treat sepsis; if the infection is rare or strange, they may consult with an infectious disease physician. If the sepsis is not severe, a general internist may direct your care. ...Read more
Very.: Sepsis generally refers to an infection where bacteria are detected in the blood and it can have other effects such as low blood pressure and effects on other organs (kidney, liver, lung). The other issues depend on the source, how sick the patient is, and other health complications. However, antibiotics are a very effective treatment. ...Read more
Yes: The confusion can occur because of the infection itself, low blood pressure, or low oxygen levels in the blood or all of the above. Once the underlying infection is treated and oxygen delivery to the brain and blood pressure are improved, it nearly always resolves. One exception may be if there is brain infection. ...Read more
What they can: The real answer depends on how ill you are... If the patient is awake and her bowels are working, and can eat safely without aspirating, a balanced meal (meat, vegetables, carbs) is a sound idea. Many people with sepsis are too ill to eat on their own; there is some data to support using special tube feeds in sepsis, but not enough for that to be the standard of care. ...Read more
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