How should we approach the septic shock patient???

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Appfoach to septic shock Fisrt assess vitals and stabilise the patient Hemodynamically pt should be come normal Ecg electrolytes Cbc xray chest usg abdomen Sos 2decho Ascertain whether pt is diabetic or hypertensive Any h/o comorbidies Very important point is sepsis consider proper antibiotics for it Complications of septicemia is to avoid D I C which is life threatening Hence BT CT PT PTT INR Consider Anticoagulants as situation may be Inotropic support Rest as condition comes up
Thanx dr Saloni Arora
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Assess Pulse, blood pressure, focus of sepsis Check Pulse oximetry and urine output after catheterisation Investigate CBC, blood culture, renal function test, liver function test, arterial blood gas, electrolyte Treat Broad spectrum Antibiotic, crystalloid 30ml/kg in one hour - as per surviving sepsis guidelines Monitor Central venous pressure Investigate for focus of sepsis and treat it Check for diabetes and do good blood sugar control
Start from history to find out cause, and conditions affecting septicaemia like diabetes Investigations concerned to be examined alongwith vitals. Shock to be treated with i v fluids dexamethasone, and broad spectrum antibiotics. Watch bp tpr urine output etc and chart to be maintained. Blood or pus culture to be done and other vitals to be maintained.
Septic shock is a warm shock. Resuscitate with normal saline at a rate of 20 ml/kg . Can give another bolus. Some articles advocate a third bolus too. If still not responding start dopamine. Slowly hike it up. Can use adrenaline too. Cbc crp blood c/s urine r/e n c/s . Broad spectrum antibiotics like ceftriaxone. Tachycardia is an early sign of shock. Hypotension is a late sign of shock.
Antibiotics. Treatment with antibiotics should begin immediately. ... Intravenous fluids. People who have sepsis often receive intravenous fluids right away, usually within three hours. Vasopressors.
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