Sepsis (septic Shock)

Clinical Description

It is most precipitated by infections such as pneumonia, meningitis, abscesses, peritonitis or septic miscarriages

Treatment

• IV fluid resuscitation is a priority
• Start with 30ml/kg of Normal Saline or Ringers Lactate as a bolus unless patient has signs of heart failure
• Broad spectrum IV antibiotics (e.g. Ceftriaxone 2g IV q24h x 5/7 must be given as soon as possible)
• Control/treat the source of infection

Example: remove infected catheters, drain abscesses,

• If patient remains hypotensive repeat bolus of 500ml-1L may be required and Adrenaline infusion may be considered (discuss with senior)