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Sepsis

WHAT YOU SHOULD KNOW

Sepsis is a bacterial infection that has spread throughout the body. The infection damages the tissues and causes them to become swollen. If you develop sepsis, the sooner you are given antibiotic medicine, the better your chance of getting well without other problems.

Causes

Sepsis develops when bacteria from a small, localized infection enter the bloodstream and spread throughout the body, causing a widespread infection. The infection can begin anywhere, including the teeth, gallbladder, or even a cut.

Signs/Symptoms

You may have a fever, dizziness, fast breathing, and a fast heart rate. Tests may show that you have bacteria in your blood.

Care

You will need to be treated in the hospital with antibiotic medicine, IV fluids, and possibly blood pressure medicine. The doctor will watch closely for signs of other problems that can be caused by the infection.

Risks

Without treatment you could die. Your body may go into shock, and organs such as the lungs, heart, and kidneys may stop working.

WHAT YOU SHOULD DO

  • It is important to take proper care of small infections so they do not spread in the body and cause sepsis. Symptoms of a small infection in one part of the body are redness, swelling, and tenderness.

Seek Care Immediately If...

  • You or a family member develops the symptoms of sepsis: fever, fast breathing, dizziness, and a fast heart rate.
  • You feel confused or have trouble breathing.

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: The 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: If you are getting oxygen, a pulse oximeter (ox-IM-ih-ter) may be placed on your ear, finger, or toe and connected to a machine that measures the oxygen in your blood.
  • Blood: Usually taken from a vein in your hand or from the bend in your elbow. Tests will be done on the blood.
  • Blood Gases: Blood is taken from an artery in your wrist, elbow, or groin. It is tested for the amount of oxygen it contains.
  • Chest X-ray: This picture of your lungs and heart shows the doctor how they are handling the illness.
  • Sputum Sample: If you are coughing up sputum, the doctor may need to send a sample to the lab. This sample may show what is causing the illness and will also help the doctor choose what medicine you need.
  • IV: A tube placed in your vein for giving medicine or liquids. It will be capped or have tubing connected to it.
  • ECG: Also called a heart monitor, an electrocardiograph (e-LEK-tro-CAR-dee-o-graf), or EKG. 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 sustained from the infection.
  • Foley Catheter: This tube may be threaded into your bladder to drain urine until you can urinate on your own.
  • Medicine:
    • Antibiotics may be given by IV, in a shot, or by mouth to fight the infection.
    • Fever medicines such as acetaminophen or ibuprofen will be given by mouth or in the rectum.

After You Leave

  • Get lots of rest while you are ill. Slowly restart your usual activities as you feel better.
  • Always take your medicine as directed by your doctor. If you feel it is not helping, call your doctor. Do not quit taking it on your own.
  • If you are taking antibiotics, continue to take them until they are all gone, even if you feel well. If you stop too soon, some germs may remain and reinfect you.
  • To keep from getting sick again, stay away from people who have illnesses that can spread. Also, get shots against pneumonia and the flu.
  • Get lots of rest and eat healthy foods to help keep up your resistance to infection.
  • Wash your hands after going to the bathroom and before eating. This will keep you from spreading the infection or becoming infected by germs that live in body wastes.

Call Your Doctor If...

  • You have a high temperature.
  • You have fever, swelling, pain, or redness while you are being treated. These are signs of continuing infection.
  • You plan to have surgery or work done on your teeth after you have had sepsis. You may need to be started on antibiotics first.
  • You have a rash, swelling, hives, or trouble breathing. These may be caused by the medicine you are taking.

Seek Care Immediately If...

  • You feel confused or have trouble breathing.
  • You or a family member develops the symptoms of sepsis: fever, fast breathing, dizziness, and a fast heart rate.

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