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By: Michael Stecklein
A wide
variety of therapeutic treatment is available in the treatment of septic
shock. These therapies, used
in combination with one another, all have three major goals in common: ·
Increase
low perfusion to organs and tissues by increasing blood pressure with
fluid resuscitation and through the use of vasopressors. ·
Treat
the underlying infection through use of antibiotic therapy or surgery. ·
Provide
oxygen and treat respiratory distress (if present)
Initially, the treatment will begin with a combination of
antibiotics and fluid replacement. The initial antibiotic chosen is based
on the patient’s possible source of infection until the organism is
identified. Intravenous
fluids, either blood or protein solutions, aid in increasing blood
pressure by replacing fluid loss. Vasopressors such as dopamine may also
be used in the treatment to increase perfusion to the organ tissue.
If respiratory distress is present in the septic
patient, intubation and mechanical ventilation may be instituted to
control work of breathing and amount of oxygen consumption.
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