• Septic Shock

    Definition

    Septic shock is a condition in which blood pressure falls dangerously. It may occur in patients with serious infections. Very low blood pressure will slow blood flow. Organ failure may occur if the blood flow is too low.

    Causes

    Septic shock is caused by sepsis. Sepsis can be triggered by many different kinds of infections including:
    • Bacterial
    • Viral
    • Parasitic
    • Fungal infections
    Sepsis
    Lung sepsis infant
    An infection of the lungs has spread throughout the body, leading to septic shock.
    Copyright © Nucleus Medical Media, Inc.

    Risk Factors

    The following factors increase your chance of septic shock:
    • Age: newborns and people over age 50
    • Weakened immune system
    • Low white blood cell counts
    • Chronic diseases
    • Previous surgery

    Symptoms

    If you experience any of these do not assume it is due to septic shock. These symptoms may be caused by other, less serious health conditions. If you experience any one of them, see your doctor.
    • Confusion
    • Reduced alertness
    • Irregular blood pressure
    • Chills
    • Fever, which may be followed by a drop in body temperature
    • Warm, flushed skin
    • Rapid, pounding heartbeat
    • Rapid breathing
    • Reduced urination
    • Kidney failure
    • Lung failure
    • Heart failure
    • Blood clots

    Diagnosis

    Your doctor will ask about your symptoms and medical history. A physical exam will be done. Tests may include the following:
    • Blood tests to measure white blood cells, oxygen levels, platelet count, lactic acid, and metabolic waste
    • Blood tests and cultures to check for infectious organisms
    • Electrocardiogram (ECG)—to check for heart rhythm irregularities

    Treatment

    Talk with your doctor about the best plan for you. Treatment options include the following:

    Supportive Measures for Shock

    If you have septic shock, you will be admitted to the intensive care unit. There you will be given:
    • IV fluids—delivered directly into a vein
    • Drugs to increase blood flow
    • Extra oxygen
    If your lungs fail, you may be put on a mechanical ventilator. It will help you breathe. Other therapies or supportive measures may be used.

    Medications

    Once the cause of the infection is identified, you will be given high doses of one or more antibiotics.

    Surgery

    Surgery may be performed to remove any dead tissue.

    Prevention

    Most cases of septic shock cannot be prevented. Treating bacterial and other infections promptly may help.

    RESOURCES

    Centers for Disease Control and Prevention http://www.cdc.gov/

    Society of Critical Care Medicine http://sccmcms.sccm.org/SCCM/

    CANADIAN RESOURCES

    Canadian Association of Emergency Physicians http://www.caep.ca/

    Health Canada http://www.hc-sc.gc.ca/

    References

    Behrman RE, et al. Nelson Textbook of Pediatrics . 18th ed. Philadelphia, PA: Saunders; 2007.

    Goldman L, Ausiello D, eds. Cecil Textbook of Internal Medicine . 23rd ed. Philadelphia, PA: Saunders; 2008.

    Marx JA, et al. Rosen's Emergency Medicine .7th ed. St. Louis, MO: Mosby, Inc.; 2009.

    Sepsis: what you should know. Society of Critical Care Medicine website. Available at: http://www.sccm.org/SCCM/Patient-Family+Resources/Support+Brochures/Sepsis.htm . Accessed September 26, 2006.

    Septic shock. Merck website. Available at: http://www.merck.com/mmhe/print/sec17/ch191/ch191c.html . Accessed September 26 2006.

    Revision Information

  • Join WellZones today.

    Make a Change For LifeLearn more

    Wellmont LiveWell is creating a new tradition of wellness in the mountains by providing individuals with tools and encouragement to live healthier lifestyles.

  • HeartSHAPE Spotlight

    HeartSHAPE® Test Learn more

    Fight heart disease early and prevent heart attacks with HeartSHAPE® - a painless, non-invasive test that takes pictures of your heart to scan for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.


  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.