Doctor insights on:
Induced Coma Septic Shock
How long does it take to wake from a medically induced coma? There may still be some infection after a septic shock episode.
Depends: Depends on how badly the organs have failed during the septic shock episode - particularly kidneys and liver that clear medicines from the body. So it may be immediate or delayed up to several days. If it doesn't happen when expected, further work-up is warranted to rule out a stroke or other problems that may have happened during the coma. ...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
Many things: There has been a lot of research on this topic and most hospitals now have a sepsis protocol. Most importantly, appropriate antibiotics need to be given in a timely manner, usually in the er, and there is IV fluid resuscitation, pressors - drips to increase the blood pressure, and respiratory and other support when needed. There are guidelines on how to monitor the patients and manage all of this. ...Read more
Depends: On their age, sex, smoking status, whether or not they have diabetes, cancer, take immune suppressant drugs, their nutritional status, as well as the nature of any infecting agent, if they are wounded, if they have insurance or access to medical care... The so called average person will likely never go into septic shock, but. .. There is no average person. ...Read more
Inadequate blood flo: In septic shock, the event triggers a profound change in blood distribution. Blood pressure drops. Blood is no longer able to circulate and bathe the cells in nutrients or oxygen in adequate amounts to keep them functioning. Kidneys, heart, brain all begin shutting down as their fuel supply declines. At some point, the heart will fail to maintain a proper rhythm and quit. ...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
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
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
No: Hi. No, hyperglycemia is a sign of DIABETES! A severe illness like septic shock can bring out diabetes in a previously undiagnosed person, but NO ONE would ever say hyperglycemia is a sign of septic shock. WHY septic shock can cause the expression of hyperglycemia is because septic shock greatly ramps up stress hormones (cortisol & epinephrine) that antagonize insulin...ergo, diabetes. ...Read more
Septic shock: Septic shock is a clinical diagnosis. Recovery of an infectious organism, typically bacterial although other organisms are possible, helps to confirm the diagnosis although this takes time- sometimes days or longer. There are a number of tests that clinicians use to help initially make a diagnosis and to guide therapy, although the history and physical examination are of great importance. ...Read more