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Septic Shock
WHAT YOU SHOULD
KNOW
Septic shock is a life-threatening reaction to a severe
infection. During septic shock, the body tissues and organs do
not get enough blood and oxygen.
Causes
The problem may start with a
small infection that overwhelms the body's defenses and
spreads. In some severe infections, the germs make harmful
toxins that can cause fluid to leak from blood vessels out into
the tissues. The toxins may also prevent the heart from beating
strongly enough. Together, these reactions lower blood
pressure. If blood pressure gets too low, the body and
its organs become deprived of oxygen. The body tries to help
itself, but without enough oxygen, it makes too much of certain
waste products. These extra wastes can do additional
harm.
Signs/Symptoms
If you develop a small infection in one part of the body,
the symptoms may include redness, swelling, and tenderness.
Signs that the infection has spread throughout the body are
fever, fast breathing, dizziness, and fast heart
rate.
Care
Septic shock is an emergency that
requires treatment in the hospital. While there, you will get
medicine to treat your infection, plus IV fluids, oxygen, and
possibly medicine to raise the blood pressure.
Risks
Without treatment, septic shock
is usually a killer. The sooner you receive treatment, the
better your chances of recovery.
IF YOU'RE HEADING FOR THE
HOSPITAL...
What to Expect While You're
There
You may encounter the following
procedures and equipment during your stay.
-
Taking Vital Signs: These include your temperature,
blood pressure, pulse (counting your heartbeats), and
respirations (counting your breaths). A stethoscope is used
to listen to your heart and lungs. Your blood pressure is
taken by wrapping a cuff around your
arm.
-
Oxygen: Your body may need extra oxygen at this
time. It is given either by a mask or nasal prongs. Tell
the doctor if the oxygen is drying out your nose or if the
nasal prongs are bothersome.
-
Pulse Oximeter: While getting oxygen, you may be
hooked up to a pulse oximeter (ox-IM-ih-ter). It is placed
on an ear, finger, or toe and is connected to a machine
that measures the oxygen in the blood.
-
IV: A tube placed in the vein for giving medicine or
liquids. It will be capped or have tubing connected to
it.
-
Blood: Usually taken from a vein in a hand or from
the bend in an elbow. Tests will be done on the
blood.
-
Blood Gases: For this test blood is taken from an
artery in a wrist, elbow, or groin. It is tested for
oxygen.
-
ET Tube: This tube is passed through either the
mouth or nose and down into the windpipe. It is often
hooked up to a breathing machine. With the tube in place,
you will not be able to talk.
-
Ventilator (VENT-ih-lay-ter): A special machine used
to help with breathing. This will help you save energy that
your body needs to get better.
-
Chest X-ray: This picture of the lungs and heart
shows how they are handling the
illness.
-
ECG: Also called a heart monitor, an
electrocardiograph (e-LEK-tro-CAR-dee-o-graf), or EKG. The
patches on your chest are hooked up to a TV-type screen or
a small portable box (telemetry unit). This screen shows a
tracing of each heartbeat. The heart will be watched for
signs of injury or damage that could be related to the
illness.
-
Foley Catheter: This tube drains urine from the
bladder until you can urinate on your
own.
-
Coughing and Deep Breathing: It is important to do
this often because it helps keep the lungs from getting
infected.
-
To ease the pain during coughing and deep
breathing, a 6 inch elastic bandage can be loosely
wrapped around the rib cage.
-
Holding a pillow tightly against the chest when
coughing can help ease any pain.
-
Medicines:
-
Antibiotics will be used to fight the infection.
They may be given by IV, in a shot, or by
mouth.
-
Blood pressure medicine may be given through your
IV in order to bring your blood pressure up to normal.
Once the infection is under control and the body can take
care of itself, this medicine can be
stopped.
-
Heart Tubes/Wires: You may be attached to many
different tubes and wires. Some may enter your body under
the collarbone or in the groin and be threaded into the
heart. They are attached to monitors that measure the heart
while it's working. These readings help the doctor guide
your treatment.
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