Septic shock - Treating septic shock

Sepsis and septic shock are medical emergencies and must be treated immediately.

If you have sepsis, it's likely you will be admitted to an intensive care unit (ICU) for urgent treatment and to carefully monitor your progress. In some cases, treatment may begin in the emergency department.

You may be connected to various tubes and machines to measure:

your blood pressure
how much urine you produce
how much oxygen is in your blood

Oxygen therapy

To help you breathe more easily, you will be given oxygen through one of the following:

a face mask
a tube inserted into your nose
an endotracheal tube inserted into your mouth

If you have severe shortness of breath, a mechanical ventilator may be used.

Increasing blood flow

If you have septic shock, you will probably be given fluids directly into a vein. This will help raise your blood pressure by increasing the amount of fluid in your blood.

To increase the blood flow to your vital organs, such as your brain, liver, kidneys and heart, you may be prescribed:

inotropic medicines
vasopressors

Inotropic medicines

Inotropic medicines (inotropes), such as dobutamine, stimulate your heart. They increase the strength of your heartbeat, which helps get oxygen-rich blood to your tissues and organs where it is needed.

Vasopressors

Vasopressors include:

dopamine
adrenaline
noradrenaline

These medicines will cause your blood vessels to narrow, increasing your blood pressure and the flow of blood around your body. This will allow your vital organs to start functioning properly.

Antibiotics

Antibiotics are often used to treat sepsis and septic shock as these are usually caused by a bacterial infection.

The type of antibiotic that will be effective in treating the infection will depend on the type of bacterial infection and where in the body the infection started.

To increase your chances of survival, you may be started on antibiotics before the results of these tests are known. Initially, two or three types of antibiotics may be used. Once the results are known and the bacteria responsible for the infection have been identified, the most effective type of antibiotic can be used.

Surgery

In severe cases of sepsis or septic shock, the large decrease in blood pressure and blood flow can cause organ tissue to die. If this happens, surgery may be required to remove the dead tissue.

You may also need surgery to remove the cause of your infection, for example:

draining a collection of pus (an abscess)
removing infected tissue
removing a medical device, such as a heart valve