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Doctor insights on: Recurring Sepsis

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Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
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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?

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?

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.

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Dr. William Walsh
446 Doctors shared insights

Septic Shock (Definition)

Septic shock. Sepsis occurs when an infections enters & is spread through the bloodstream, potentially causing a marked drop in blood pressure with potential for stroke, heart or ...Read more


Dr. Ruben Nazario Dr. Nazario
Pediatrics
years in practice
University of Louisville School of Medicine
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What is sepsis?

A severe infection: Sepsis is the term used by doctors to describe a severe, life-threatening bloodstream infection. Sepsis can cause your baby's organs to fail. If untreated, sepsis can be fatal. Treatment with intravenous fluids and antibiotics, and close monitoring in the hospital can prevent serious complications.

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Dr. Martin Raff Dr. Raff
Internal Medicine - Infectious Disease
52 years in practice
University of Texas Medical Branch School of Medicine
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What is sepsis?

What is sepsis?

Sepsis: There are now a set of 4 criteria that define sepsis. High or low WBC count, pulse of >90, respirations of 20 or greater and temperature elevation or hypothermia. Any 2 of these when infection is present constitutes "sepsis". There are further criteria for severe sepsis, septic shock and sepsis with multiorgan failure.

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Dr. Andrew Malinchak Dr. Malinchak
Family Medicine
26 years in practice
Philadelphia College of Osteopathic Medicine
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Dr. Michael Jantz Dr. Jantz
Internal Medicine - Pulmonary Critical Care
28 years in practice
University of Washington School of Medicine
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What causes sepsis?

Infection: Sepsis is related to a severe infection. With severe involvement can see low blood pressure and organ malfunction.

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Dr. William Walsh Dr. Walsh
Addiction Medicine
13 years in practice
Indiana University School of Medicine
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How common is sepsis?

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.

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Dr. William Walsh Dr. Walsh
Addiction Medicine
13 years in practice
Indiana University School of Medicine
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Can anyone get sepsis?

Yes: If you encounter a virulent enough pathogen and have an immune system, you can get septic.

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Dr. Edward Neilsen Dr. Neilsen
Family Medicine
15 years in practice
Medical University of South Carolina College of Medicine
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How does sepsis spread?

How does sepsis spread?

Blood: Typically sepsis starts in a single area - kidney, open wound, broken bone, etc - but spreads throught the body in the bloodstream.

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Dr. Martin Raff Dr. Raff
Internal Medicine - Infectious Disease
52 years in practice
University of Texas Medical Branch School of Medicine
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How is sepsis diagnosed?

How is sepsis diagnosed?

Sepsis: This is defined as fever (or hypothermia), rapid pulse (>90/min), rapid respirations (>20/min), and elevated or suppressed WBC counts. Any two of these criteria, if caused by infection, yields a diagnosis of "sepsis". This is very specific. If you have low blood pressure not responding to fluids then you have septic shock. If more than one organ system is failing =multiorgan failure.

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Dr. Payam Rafat Dr. Rafat
Podiatry
18 years in practice
New York College of Podiatric Medicine
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How long does sepsis last?

How long does sepsis last?

It depends: Some may be cured of it while others may not. It depends on the age, and health of the individual. It also depends timely appropriate treatment.

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Dr. William Walsh Dr. Walsh
Addiction Medicine
13 years in practice
Indiana University School of Medicine
11

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What are sepsis sores like?

Varies: Depending on the type of infection causing the sepsis syndrome, the skin sores vary. Blisters, areas of skin death (necrosis), deep ulcers, raised/hard areas all occur.

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Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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How fast does sepsis occur?

Very: Someone with a "mild" kidney infection can go septic and be dead in as little as eight hours. I've seen it. This is why these things are so dangerous.

Dr. Riley Alexander Dr. Alexander
Pathology
7 years in practice
Indiana University School of Medicine
13

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Does sepsis often cause pain?

Yes: Sepsis is a life-threatening condition marked by a dramatic, systemic inflammatory response due to infection. It causes a number of potential severe symptoms (fever, low blood pressure, organ failure, etc.).

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Dr. Robert Robinson Dr. Robinson
Internal Medicine
17 years in practice
Southern Illinois University School of Medicine
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What are the tests for sepsis?

What are the tests for sepsis?

Clinical diagnosis: Sepsis is a clinical diagnosis - there is no lab test for sepsis. Lab tests are used to assist in the diagnosis of sepsis. Look at the SOFA score to see how clinical information is put together to determine if someone has sepsis https://en. Wikipedia. Org/wiki/SOFA_score The SOFA score uses vital signs, physical exam, and lab tests to help determine if someone has sepsis

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Dr. H. Hunter Handsfield Dr. Handsfield
Internal Medicine - Infectious Disease
49 years in practice
Columbia University College of Physicians and Surgeons
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Does sepsis hurt while dying?

Does sepsis hurt while dying?

Usually not: Assuming this involves a loved one, I'm sorry you and she are in this situation. The good news is that a sepsis death usually is not painful, and often less stressful than other causes. But if she is uncomfortable and death is inevitable, three are treatments that will make it ieaser for her. Don't hesitate to disucss frankly with her doctors. Very best wishes to you.

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Dr. Carlo Hatem Dr. Hatem
Internal Medicine - Pulmonary Critical Care
21 years in practice
American University of Beirut Faculty of Medicine
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How common is sepsis in the us?

750k/year: National institute of health reports 750000 cases of severe sepsis per year citing data published in 2001. The number of cases is on the rise with the aging of the population.

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Dr. Ravi Nerella Dr. Nerella
Internal Medicine - Hospital-based practice
20 years in practice
University of Health Sciences, Vijayawada, Guntur Medical College
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How long will sepsis be treated?

Depends: Sepsis is a very serious and potentially life threatening condition caused by toxins from bacteria in the blood stream. The usual treatment is aggressive supportive therapy with IV fluids, antibiotics and other medications to support blood pressure if needed.

Dr. Martin Raff Dr. Raff
Internal Medicine - Infectious Disease
52 years in practice
University of Texas Medical Branch School of Medicine
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Would you know if you had sepsis?

Would you know if you had sepsis?

Sepsis: This is a well-defined clinical syndrome which is characterized by the body's response to infection and is diagnosed by physicians. You might feel ill, but not know that you meet the clinical criteria to be termed "septic".

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Dr. Carlo Hatem Dr. Hatem
Internal Medicine - Pulmonary Critical Care
21 years in practice
American University of Beirut Faculty of Medicine
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What's sepsis and is there a cure?

Infection: Sepsis is a form of poisoning caused by an infection. The treatment is antibiotics, control of the infection, and supportive measures to keep other organs working while the body heals.

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Dr. Seth Akst Dr. Akst
Anesthesiology
17 years in practice
Case Western Reserve University School of Medicine
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How long does sepsis recovery take?

How long does sepsis recovery take?

It depends: It depends on what you mean by "recovery." the actual acute illness may take anywhere from 3-10 days to resolve on average, but can also involve ICU stays for a month or more (depending on setbacks). Even after leaving the icu, a patient will be very weak and deconditioned, and may need assistance to gain strength and ability to function independently again. That can take months of rehab.

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Dr. William Walsh
1,888 Doctors shared insights

Sepsis (Definition)

The body's abnormal response to severe infection. Sepsis symptoms include fever, rapid heart rate and rapid breathing, and bloodwork will reveal elevation of ...Read more


Dr. William Walsh
418 Doctors shared insights

Infection In The Blood (Definition)

Septicemia / sepsis occurs when a serious infection has spread through the blood. It can cause organs to stop functioning and in some cases ...Read more