Top
30
Doctor insights on: What Should Sepsis Patients Eat

Share
1

1
What should patients with sepsis eat?

What should patients with sepsis eat?

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

Dr. William Walsh
452 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


2

2
Can sepsis be treated an the patient will recover completely?

Can sepsis be treated an the patient will recover completely?

Yes: Even though sepsis can be very frightening, advances in medicine can definitely allow a patient to be healed from sepsis. ...Read more

3

3
Are patients with sepsis lethargic?

Are patients with sepsis lethargic?

Yes: Sepsis is systemic manifestation of infection, potentially affecting multiple organs. Patients can be lethargic, sleepy, even unresponsive. ...Read more

4

4
Do doctors see a lot of patients with sepsis?

Absolutely: "sepsis" is the body's reaction to a known or suspected infection. This reaction can include fever (or low body temp), fast heart rate, fast breathing rate, and low blood pressure. Many doctors, in many specialties, see sepsis every day. Indeed, docs like me (pulmonary and critical care) see them more often, but it is a very common diagnosis. ...Read more

5

5
What diet and exercise should a patient with sepsis should do?

None: Sepsis is a severe infection and people with sepsis are in an intensive care unit. Are you sure you mean sepsis? ...Read more

6

6
What diagnostic test result identifies the patient as being at risk for sepsis?

What diagnostic test result identifies the patient as being at risk for sepsis?

Cultures, X-rays, lab: Patients are risk for sepsis usually have risk factors such as illicit behaviors, immunosuppression, chronic diseases or acute illnesses. Tests to diagnosis sepsis involve cultures of blood, urine, sputum or wound; blood tests of the wbc. X-rays of chest or other sites are helpful if clinical symptom warrant it. Occasionally spinal tap is necessary if all other tests are negative. ...Read more

Dr. Tony Ho Dr. Ho
1 doctor agreed:
7

7
What is the survival rate of septicemia patient? What is difference between septicemia & sepsis?

Dr. Tony Ho Dr. Ho
1 doctor agreed:

Depends: It depends on the other aspects of the disease process; vital signs, labs, how the patient appears. Septicemia is simply the presence of bacteria in blood, and is a fairly old term. Sepsis is the idea that there is an infection that is causing a systemic response (fever, high white cell count, fast heart rate, fast breathing rate). ...Read more

8

8
Expert opinions? Which diagnostic test result identifies the patient as being at risk for sepsis?

Expert opinions? Which diagnostic test result identifies the patient as being at risk 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 ...Read more

9

9
Could anyone recover from maternal sepsis what is the treament and what is estimated recovery time and the patients needs to do in order to recover?

Need more info: Maternal sepsis is a serious condition. She must consult with her ob/gyn and be examined carefully to make sure the infection has been eradicated. Time to heal depends on cause of sepsis and health of the woman. ...Read more

10

10
If a patient has suspected sepsis and urgent blood cultures are attempted then, approximately, how quickly could it be established that the results are negative.

If a patient has suspected sepsis and urgent blood cultures are attempted then, approximately, how quickly could it be established that the results are negative.

Sepsis: Blood culture often turns positive within 24 hours, however, sometimes it may take longer and other times the blood culture may be negative even though the patient has all the clinical features of sepsis ...Read more

11

11
This is only a general question. If a patient has been diagnosed with sepsis and hypernatremia then, typically, how long after the diagnosis is made should the administration of IV fluid commence? Is it particularly important.? I appreciate that medical

Here are some. ..: Inserting IV-line ASAP is an essential part of caring for medical urgency/emergency. But how soon, how much, and how fast may widely vary depending on clinical need and access availability in staff and facility. These are commonsense matters. ...Read more

12

12
If old patient developed sepsis after elective open AAA repair. Is it necessarily a medical error or negligence?

If old patient developed sepsis after elective open AAA repair. Is it necessarily a medical error or negligence?

Any elective proced-: Ure has it's risks and benefits, which is discussed by the surgeon before the actual procedure is done. With AAA, even sepsis or infection is discussed as a complication, which is why you must sign your life away when consenting. You were warned pros/cons. If infection is listed, and can happen anytime the body is open, and antibiotics are given, then it's not neither negligence or medical error. ...Read more

15

15
Does sepsis cause heart damage in cancer patients?

Does sepsis cause heart damage in cancer patients?

Yes: There is evidence that the heart can be damaged and not function well in sepsis. Sepsis, in fact, can cause damage to a number of organs: the lungs, kidneys, blood vessels, etc. ...Read more

16

16
Dear doctor...what is the best method to manage patient in the emergency with nephrotic syndrome and sepsis?

Dear doctor...what is the best method to manage patient in the emergency with nephrotic syndrome and sepsis?

Nephritis syndrome &: You should be admitted to the hospital for IV antibiotic & control you nephrotic syndrome with steroids or other meds depending on the type of nephrotic syndrome that you have. A consult with nephrologist & infection diease is needed. I hope you get better soon. ...Read more

17

17
I understand that if a patient has delirium and suspected sepsis (I am not referring to myself), some doctors are reluctant to perform a straight catherization. Why? Are the risks very serious?

I understand that if a patient has delirium and suspected sepsis (I am not referring to myself), some doctors are reluctant to perform a straight catherization. Why? Are the risks very serious?

Hmmm....: Suppose you have delirium or have dementia. How would the medical staff convince you that you should help them do a bladder catheterization on you to get a sterile urine sample to look for urinary infection... when the medical staff appear to be several large strangers, suddenly appearing at your bedside, speaking in garbled words, waving a long, thick rubber object, aiming for your..... ...Read more

18

18
Is it possible for a all leukemia cancer patient who has neutropenia after chemotherapy and have sepsis to surrive?

Yes it is possible: But this is a critical situation that needs proper care (and some good luck). Sure it is possible, but there is always a chance for unexpected complications, and a failure of the patient to respond favorably. And if you believe in a deity, prayer can't hurt either. ...Read more

19

19
PLEASE describe symptoms of systemic fungal infection in an immunocompetent Patient. Also, how long can these last before sepsis / death?

PLEASE describe symptoms of systemic fungal infection in an immunocompetent Patient. Also, how long can these last before sepsis / death?

See below: This is too broad a subject. Fungal infections can be benign like ring worm, lethal like mucormycosis, or last years as in madura foot. You may consult this site for a start.
https://www. Cdc. Gov/fungal/diseases/index. Html
Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine ...Read more

20

20
What tests must a pathologist do when a patient died from sepsis, does the autopsy include checking blood, checking tissue, what occurs? Thank u :)

See below: A postmortem examination includes visual inspection of all the organs, including cut surfaces of the organs. Microscopic examination of selected tissues is also done. The source of sepsis can generally be determined. You and your doctor may wish to consult the pathologist if you need additional information or explanation. You may consult this site for more info:
http://www. Nhs. Uk/conditions/post-mortem/pages/introduction. Aspx ...Read more

22

22
How likely is it for a patient to have sepsis if there is noemal temp, normal WBC, normal CRP and normal platelet count?

It would surprise me: Bacteria grow from the blood from time to time in health. If the white cells also appear normal, and there's no other symptoms or signs of sepsis, I'd doubt it. How are you / the person involved feeling now? ...Read more

23

23
If sepsis residue shows on CT in pelvis and patient dies, Will pathology pick up this sepsis residue in pelvis?

Yesyes: I'm not sure what you mean by sepsis residue. But that when they do an autopsy or pathology and someone who died of sepsis that area will show white cells are pause and inflammation microscopically which confirms the infection ...Read more

24

24
Hello Dr. My cousin, 34 yr old. Sepsis patient. He consulted an ortho for his right leg pain, however after MRI it was found that his right hip was 20%?

Hello Dr. My cousin, 34 yr old. Sepsis patient. He consulted an ortho for his right leg pain, however after MRI it was found that his right hip was 20%?

Question: It seems that your question was cut off. There are character limits to questions asked via healthtap. Please re-ask your question. Consider having a consult via healthtap prime or concierge. Your cousin should consult with his PCP or via healthtap. Be well! ...Read more

25

25
How often do patients go into septic shock. From spinal surgery? And do you tell the patients family when this happens?

How often do patients go into septic shock. From spinal surgery? And do you tell the patients family when this happens?

Unusual: It is unusual for a patient to have septic shock from spinal surgery, although it is one of the known complications. This is more likely to occur if there was concurrent multi-trauma or other metabolic issues such as diabetes mellitus. Family should be informed about problems and complications. ...Read more

26

26
Can a septic shock patient develop osteomyelitis?

Yes: But it can go both ways, bacteremia can seed the bone or acute osteomyelitis can cause bacteremia. ...Read more

27

27
Can someone explain to me how come patients with septic shock be treated with insulin and corticosteroids?

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

28

28
Due to septic shock the patient is not recovering there is high amount os swelling?

Due to septic shock the patient is not recovering there is high amount os swelling?

Hypermetabolic: When patients are septic they develop increased metabolic rates and are unable to produce protein in normal amounts. This leads to swelling. Over time this will resolve. ...Read more

29

29
If the patient who is suffering from septic shock gets worse after an attempt of dialysis, what are other options available to be considered?

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

30

30
Chances of survival of patient with severely septic and septic shock?

Not good: Cannot give you a number, but the prognosis is bleak. Depends on the age of the patient, cause for sepsis (what started the infection), co-morbidity (other diseases the patient might have-in this case pf sepsis, diabetes would be bad to have). ...Read more

Dr. William Walsh
1,894 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
424 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