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How to Treat Septic Shock?

Things to note:
  • Check air, respiration and circulation.

Medical Treatment:
Oxygen, if hypoxic. Every patient needs urgent intravenous antibiotics.
Perform a fluid challenge before adrenaline:
Sodium chloride 0.9 percent, IV infusion, 200 mL over 15 minutes.
  • Assess blood pressure and response to pulse rate. The response is defined by a good urine output and sufficient cerebral perfusion instead of an absolute blood pressure value.
If a positive response is available, continue with the intravenous fluid. Avoid over- hydration, as this could exacerbate the hypoxia associated with adult respiratory distress syndrome if there is no hemodynamic response to fluid:
Adrenaline, IV infusion, titrated by response of 0,05 mcg / kg / minute.
  • 10 mg dilute i.e. 10 adrenaline ampoules 1:1 000 in 1 L of sodium chloride 0.9 percent.
  • Infuse by weight and clinical reaction.
  • Rate of infusion: mL / hour.
Take blood culture and administer the appropriate broad spectrum parenteral antibiotics as a matter of urgency, e.g:
Ceftriaxone, IV, initially 2 g.
  • Then 1 g daily( for sepsis acquired by the community).