Doctor insights on:
Sepsis Vs Septic Shock Vs Severe Sepsis
My father is recovering from severe sepsis and septic shock. Attack was post uti, but otherwise out of the blue. Back home. Any precautions now?
Prevention is key: I'm glad to hear he has done well, recovered and is back home. There shouldn't be any special precautions other than preventing recurrence of a severe uti, or getting treatment for it as soon as it appears. Prevention will depend on the cause of UTI (stones, retention from bph, instrumentation, etc). In general, he should drink plenty of fluids and follow up with his primary doctor. ...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
My father is just about recovering from a severe sepsis infection that included septic shock. Still has low grade fever. How long does recovery take?
Sepsis: It can certainly depend on the etiology of the sepsis and the degree of organ dysfunction that occurred. Some recover fully, some take weeks, some never quite recover organ function and cardiac, pulmonary, brain and kidney function may be impaired afterwards. If he is still with fever days/weeks into therapy, i would make sure he has been evaluated for endocarditis with blood cultures and an echo. ...Read more
My father survived a severe septic shock 4 months ago. For the first time since then, he has now fallen ill with a cold. No fever. Any precautions?
Blood pressure: Sepsis is the body's generalized inflammatory state as a response to an infection. Severe sepsis is when 2 organ systems begin to fail due to sepsis. Septic shock is when you have sepsis and your blood pressure remains low despite being given adequate IV fluids. A medication called a "vasopressor" can then be required to support your blood pressure to safe levels. ...Read moreSee 1 more doctor answer
What do you advise if i was just wondering how long it would take for sepsis to develop into septic shock?
Depends...: The length of time between sepsis and septic shock is variable and it depends on what organism is causing the sepsis since some organisms are more virulent than others. It also depends on the treatment of the sepsis. If proper anti microbial therapy is given, the sepsis will not continue on to septic shock. ...Read more
Varies: White cell count could be low, high or normal. Hemoglobin is likely to be low or dropping. Immature and damaged cells are noted. There is something called a left shift, a change in the relative proportions of different white cells. Bandemia may be noted. Platelets high, normal, or low. ...Read moreSee 1 more doctor answer
Are overwhelming mennigicoccal sepsis and septic shock similar type of illness? They both are a result of bacteria and infections?
Similar: Septic shock can occur with many types of bacteria including Meningococcal bacteria, other bacteria, fungal infections and even viruses. They have in common an overwhelming immune response which causes innocent bystander damage to normal organ function. ...Read moreSee 1 more doctor answer
Elderly incontinent diabetic paralysed from waist down - no cathethar develops sepsis then septic shock vomitting , cd it hve taken months to progr?
My dad died of bowel injury sepsis septic shock. doc hid all and said dad had heart attack natural causes, pathologist in on it... public inquiry and
This is a serious: allegation. I recommend that you report your concerns to your local medical society and/or the medical licensing board. They can initiate an independent investigation of your father's medical records and of his doctor's conduct and abilities. While sadly this won't bring your father back, it may prevent harm to someone else in the future. Dr. Anne ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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
Who knows?: Clinical experience shows all dying persons will, as expected, struggle to cope with reality, certainty, & uncertainty for survival & continuation at the early stage of dying, gradually become less energy & ability to fight on, then lapse into coma, and finally step into eternity. What is the pace of dying? It heavily depends upon the availability of supportive care & widely vary from days to... ...Read moreSee 2 more doctor answers
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