Septic Shock | Shock (Part 8)

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For lesson 8 in our series of lessons on shock, we take a deep look at probably the most common, and often the most deadly kind of shock, septic shock.
Septic shock is a result of a systemic infection, also known as sepsis. It is a very serious condition with a very high mortality rate and no matter what type of ICU you work in, you will come across this type of shock.
We start off covering the basic of explaining what is septic shock. In this lesson, septic shock explained in a way that makes it easy to follow yet, maintaining a strong grasp on the concepts. We do take a very extensive deep dive in to the septic shock pathophysiology, explaining all the compents that work together to create this profound state of shock.
We also cover the causes of septic shock, from bacterial septic shock, to viral and others. We then take a look at the septic shock symptoms and signs that you would see in your patients.
Finally we thoroughly cover the treatment for septic shock including the latest guidelines for the 1 hour bundle from the surviving sepsis campaign.
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For the next lesson in this series covering identifying what type of shock your patient is in, click here: *COMING SOON*
You can also check out the playlist for this series of lesson on shock here: • What Is Shock? | Shock...
Also check out our other popular series of lessons on Hemodynamic Principals: • Cardiovascular System ...

[@ICUAdvantage]

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[@russellboza8130]

I had sepsis from a wisdom tooth removal.. I didn't know what I wad going through and my upbringing was taught not to go to the hospital or doctor unless dying. I spent 2 nights fighting fevers and crazy dreams. I went to doctor for a urine sample on the 3rd day. They rang at sundown and told me to get to the hospital asap. I was passed out on the couch when they rang. I drove to the hospital and passed out when I got to the reception at hospital. They told me I had severe septic shock. I really struggled to get back to square one after the ordeal. It was a serious life changer

[@jinchodemierda]

Glad you are ok, what lingering symptoms have you had if any?

[@PELVIS361]

Amazingly, I survived one after my liver transplant. Afterward, my transplant was badly damaged and I underwent a second one. Thanks to the great team of doctors from Udine Italy, I am able to tell the story today!

[@rdeleon1993]

I read the textbook but couldn't put things together until I watched the shock series. You are superb explaining these lessons. Thank you

[@ICUAdvantage]

This is so cool to hear! Really happy to hear they were received so well and that you found them helpful!

[@s.t.1891]

@@ICUAdvantage please sir did you perhaps explain why blood sugar levels may go up or down in an other video? I would really love to see you explain it cause you're great at explaining and simplifying things so thanx anyway!

[@Lishe-xk8ie]

@@s.t.1891 cortisol has an important role in inflamination process by increasing glucose to provide for the cellular respiration (Krebs process). Because of the hypoperfusion, in the early, we have a hyperglycemia (Krebs is not work) and after that the anaerobic respiration has a chance to appear. At the end, we have hypoglycemia ( Fuel has run out ) and hyperlactatemia ( the product of anaerobic respiration) - my opinion.

[@s.t.1891]

@@Lishe-xk8ie thank you!!

[@user-ex4si2md6r]

Yes sir I am recovering from my sever case of sepsis and I was scared 😳

[@AlleyCatArtemis]

My uncle is had a ruptured intestine and in the middle of the surgery experienced septic shock, he currently has a wound vac and they are hoping to complete the surgery within 48hrs. I lost my mom earlier this year and just hope hes one of the lucky ones. Thank you for this informative video.

[@ICUAdvantage]

I'm so sorry to hear about the loss of your mom Ana. My thoughts are with you, your family and most importantly for your uncle for a speedy recovery. Thank you for sharing and take care.

[@windrimondo]

I’m not even a med student...and I loved this lecture. So much is going on within our body so quickly, yet, we can’t see it. Nice content!

[@ICUAdvantage]

You are so welcome!

[@onestunningdude9445]

I had covid19 and it basically put me in septic shock. I was in ICU, but didnt have to use the ventilator. It was the roughest 2 weeks of my life. My D-Dimer was like at 60k. I'm so glad I went to the hospital like my wife said to do. Praise GOD I'm alive 🙏🏾

[@ICUAdvantage]

Wow! Thank you for sharing and thanks for listening to your wife! Glad to hear you made it out the other side of all that. Take care.

[@fadoufadouat5361]

Hi, please if you know what's the treatment that they gave you for the septic shock can you tell me?

[@baileymoran8585]

I just went through septic shock last year. It was horrible. I was so out of it. I had no idea I was even in the hospital. Due to Covid, I sat in the ER for almost 48 hrs, apparently. I vaguely remember the ambulance. Mostly because of pics. The few memories I have are terrifying fever dreams, pain (small intestine perforation), and confusion. I woke up 13 days and 3 surgeries later. I had no use of my legs as my nervous system got damaged. I have most mobility back but still suffer nerve damage and mild issues. I’m so scared it will happen again one day!

[@trishlo8111]

Great lectures! They've been really helpful during nursing school!

[@ICUAdvantage]

Happy to hear this and to know they've been helpful for you!

[@jessicahelton7583]

This is amazing. Thank you so much for helping me to understand what my brother is going through right now. . I like that you broke this down and illiterated septic shock and also sepsis in a way that i can fully understand. Thank you again.

[@danielsteinberg7698]

This is an excellent explanation of septic shock and how to treat it. This should be used in every nursing class. Thanks for putting this together, sir.

[@alwayza9er]

Simple and strait forward, thank you for your work.

[@ICUAdvantage]

Thank you so much for this comment. The processes going on with septic shock can be quite complex and we are glad that we were able to make them clear and understandable!

[@lookingood364]

You do a great job of explaining this and the drawings are so helpful. Thank you!

[@BlackCherry5Oh]

Sepsis almost killed me in July of 2017, spent 2 weeks in ICU. Had I not sought treatment when I did I have no doubt I wouldn't be here today.

[@ICUAdvantage]

Wow! So glad that you went it got help! It gets bad and if you don't get help right away it can be very deadly!

[@carlangelo9430]

This was so good. Thanks so much!

[@meandmy9534]

This is amazing. That's all i need thank you

[@pumpkinpie025]

Just wrapped up your series on Shock- every video. They were awesome. For nursing students, this shows patho, etiology, diagnostic and treatment. Thanks for the clear and concise videos

[@ICUAdvantage]

Oh wow, thats so awesome Anne! I really tried to do my best to be as complete as I could be so I'm happy to hear you really liked them. Thanks so much for taking the time to leave such an awesome comment. Made my day!

[@vidaobeng4622]

@@ICUAdvantage qqq1qqqzQwe

[@user-ex4si2md6r]

Thank you sir for the detailed information on sepsis I had when I was in the hospital for a week and I am grateful for my life 💘✌️🙏☮️🌎

[@msme9790]

Fascinating. You did a wonderful job explaining. Two years into covid this perfectly explains what was happening inside their bodies!

[@ICUAdvantage]

Glad you enjoyed it! Thank you!

[@williamlam2986]

Great Explanation. Thank you.

[@JuliaEatsYou2]

Thank you! Writing a paper on Sepsis in canine patients and this helped break it down so easily!

[@ICUAdvantage]

Awesome!

[@risamiles6124]

Hi Eddie! As always, your video is fun and informative.

[@ICUAdvantage]

Thank you Risa! 🙂I really appreciate that! Good to hear that about topics that could be quite boring.

[@lalitujjwal3978]

A very informative and easy to grasp session, even for the layman people like myself.

[@ogi8874]

This should really have more views. Great job!

[@ICUAdvantage]

Thank you so much!

[@chelseapope8680]

As a new grad in the ICU (about to Come off orientation), I wish I would have known about your videos in nursing school. Septic shock (like a lot of other topics) never made any sense to me in school- I just kind of memorized what I needed to pass. Now that I am working as an RN I feel more comfortable in my ability to take care of these critical patients & piece the puzzle together during assessments. Also sending baby new grads your way- thank you for the time and effort you put into all of your videos!

[@ICUAdvantage]

Hey Chelsea. First congrats on the new ICU gig and being almost done with orientation. Now the real learning begins! 😉 In fact, it really never ends. Glad to hear things are coming together for you and really happy you've enjoyed the video. Best of luck as you get at it on your own here soon.

[@judypeng4748]

How do you feel new grad in ICU, I will start in ICU as a new grad too. Do you have any advice for me?

[@karleydelahoussaye4055]

Thank you so much for this series and all of your videos! I am a nursing student trying to pass my exams this week so I can graduate in quarantine. Your explanations are just what I need to review material in less than half the time of the recordings made during class.

[@ICUAdvantage]

So awesome to hear! I can't imagine trying to get through school in these times. I'm so glad this video was helpful for you and you'll have to let me know how the exam went!

[@mslady8895]

Thank you Mr. Watson!

[@ICUAdvantage]

So welcome! 😊

[@vrob2918]

Never pieced together the pulmonary issues related to sepsis. Thanks for this!

[@ICUAdvantage]

Glad I could help connect the dots!

[@yoslennramos1800]

This helps me a lot for my next quarantine exam lol Thank you so much!

[@ICUAdvantage]

LOL! Quarantine exam! I love it (well hate it really) but glad that this was able to help you!

[@bekkfawcett1149]

these are amazing explains it so well i appreciate these lessons so much

[@ICUAdvantage]

So happy to hear this. Thank you Bekk!

[@katesun2957]

Very good presentation. Thank you.

[@ICUAdvantage]

Appreciate that Kate!

[@lorrainekavedza7489]

So many things become clear to me now. Thank you.

[@ICUAdvantage]

Wonderful!

[@gme5400]

Hubby survived sepsis this week. I learned this lesson but one video at a time. We caught it early-warm stage. So scary though. It started with what looked like a heart attack. Nice video. Concise and colorful!!!

[@ICUAdvantage]

WOW! So glad you got it early and he is ok! Glad you liked the video and thanks for the comment.

[@tibayounis9977]

I have pathology exam so this video is really hepful great great dr

[@ICUAdvantage]

Good luck!

[@reyhane4210]

Thanks 🌸🌸

[@ICUAdvantage]

You're welcome Reyhane! 🙂

[@angelnkhoma6248]

Well explained 👏

[@ICUAdvantage]

Thank you Angel!

[@meryamlazrak1329]

Thank you sir

[@linbuyse7163]

Love this, covered it very well!

[@ICUAdvantage]

Awesome to hear Linda! Thank you.

[@alaahussain9677]

thank you everything in this lesson was my favorite

[@ICUAdvantage]

Happy to hear this Rose!

[@Universal035]

@@ICUAdvantage Hello, I've been diagnosed with folliculitis since 2013 caused by staphylococcus infection. I also had furnacles & fear that I may have Sepsis. I heard that this is an uncurable deadly disease & I'm afraid to die from this. I don't know what to do.

[@awenipankasa3303]

Thank you

[@debbiemumba3040]

Youre a life saver❤

[@ICUAdvantage]

Happy to be able to help!

[@bananiz1895]

Very informative video my father just passed and this video helped me understand what happened greatly appreciated God bless

[@ICUAdvantage]

I'm so sorry to hear of this and for the loss of your father! 😢

[@bananiz1895]

@@ICUAdvantage thank you it's been the most painful thing to happen to me to loss my father and been trying to see if if there's something I could of done to help him but seeing this video and getting knowledge on this topic I can see why his 82 year old body wouldn't be able to fight something like this off. I appreciate your thurl explanation.

[@adampopovsky9305]

Thank you very much for this series. At college I have first aid class and we have to learn this but recieved study materials are not that good so I find this really helpfull. Only if it would be in my language :D Anyway still 10/10 you are the best teacher covering this toppic. Once again thank you for your work.

[@AbdElrahmanMohamad536]

Great explanation thank u 😍😍😍

[@ICUAdvantage]

You are welcome 😊

[@nolusindisodayile1931]

I've been reading my books you are superb in explaining Neurogenic shock thank you for your work

[@14erskier]

Excellent

[@ICUAdvantage]

Thank you so much 😀

[@MrGILLY63]

I am a 3rd year nursing student about to qualify and Have an assignment to complete on septic shock of a patient in my scenerio .. very helpful and easier than uni to understand. thank you. what I needed to get these assignments completed for deadline.

[@ICUAdvantage]

Glad this was helpful for you! 😊

[@prince-moseschannel5053]

👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽Fantastic lessons

[@ICUAdvantage]

Thank you very much!

[@farahawil7281]

good job

[@ICUAdvantage]

Thank you Farah!

[@Fallen5321]

I had septis - Can tell you I've never felt so ill in all my life. I vomited over and over, dripping with sweat- couldn't sit still panicking all the time. GP Doctor didn't do much came on a home visit gave me anti sickness drugs and left. I couldn't keep the tablets down due to sickness. Had to go to hospital an ambulance was called as it kept getting worse. This was all at Christmas

[@avengersgaming8564]

At you safe from that casue??

[@fadoufadouat5361]

Please can you tell me how did you recover from it? Did the treatment in the hospital do anything?

[@darlenescott3503]

Thank you for the information. I just resently got septic shock two months ago. This is the second time I got septic shock.

[@ICUAdvantage]

Wow, twice!?! Glad to hear you have recovered now twice. Once is more than enough for any person to have to go through.

[@darlenescott3503]

@@ICUAdvantage Oh thank you. I actually got Septic Shock, E-Coli, a UTI and a blood disease from eating metal. In March. Im not sure how I ate the metal, I had surgery to get a stent placed inside of me, I have a kidney stone stuck to me, im having surgery in 3 weeks from now. I been on 3 different kinds of antibiotics. I went home from the hospital with a pick line in my arm for IV meds. Im still in a lot of pain in my kidney. I got a infection in my stent and kidney, one of the Drs in the emergency a few weeks ago again thought I had septic shock the 3rd time.

[@fadoufadouat5361]

@@darlenescott3503 hi, I'm sorry to bother you can you tell me what happened after the septic shock like did u get any organ failure or that doesn't happen to anyone?

[@eyelostlove]

This was my death sentence, I have no idea how I survived this....Septic shock secondary to streptococcus pneumoniae bacteremia and pneumonia, acute hypoxemic respiratory failure, acute kidney injury, hypokalemia, thrombocytosis, and chronic normocytic anemia.

[@ICUAdvantage]

Wow, sounds like you went through the ringer! Glad to hear you fought through and are here with us today! So scary.

[@mariespi96]

Were you able to recover 100% or do have lasting side effects? My loved one is recovering from sepsis but his kidneys have not started working yet. He was fighting Covid then sepsis on top of that...😭

[@patriceleeann69]

My sister was just hospitalised on the 4/9 2021 she had septic shock she is in icu on a ventilator & receiving dialysis treatment her vital signs are currently up to normal She's always sedated because she gets very agitated due to the pain so she's never really awake .. she's 38 and fighting I'm praying for her everyday I hear nothing good about this bacteria I'm a cna in the medical field and have been learning as much as I can about this disease I'm not a Dr but I want to know my sister chances at this yet i know only God really knows but this video was very helpful. Thank you .

[@ICUAdvantage]

I'm so sorry to hear about your sister and prayer for her and her recovery!

[@minakshi7530]

How’s your sister now ?

[@patriceleeann69]

@@minakshi7530 my sister is great she's back to her normal self.. she's really come a long way.. thank you for asking .

[@patriceleeann69]

@@ICUAdvantage Thank you!!!!!

[@minakshi7530]

@@patriceleeann69 Great 👍 My mother was died bcoz of septic shock , she was 58 , she left us ..

[@zahraaabbas5895]

4:15 A.M. and I’m doing a shock homework 💔😂

[@ICUAdvantage]

Yikes, that doesn't sound like a good time lol

[@Shellyranae]

I developed really bad livedo Reticularis from my hips down directly after a surgery complicated by cellulitis at the navel incision wound. Had numerous testing done for conditions all the way from lupus, antiphospholipid syndrome to cryoglobulinemia yet it has yielded no answers. It worries me because it was of rapid onset with right sided peripheral edema . This was a year ago. The livedo continues to get worse. I know its hard to give any medical advice in this situation. But if you have any insights or ideas id definitely appreciate it ❤️. Im wondering if shock or hypoperfusion? Thank you

[@gengomez8467]

New subscriber!🙋🙋🙋🙋 I have a good Professor in Graduate school, but your content is amazingly simplified.☺

[@ICUAdvantage]

Thank you Gen and so glad to have you aboard. Thank you for such an awesome comment. Totally humbled to hear that!

[@rachuriannapurna3575]

Very nice tq sir

[@justnyla2780]

I just love this type of glow in the dark drawings

[@ICUAdvantage]

Thank you! I think it really helps to make the point. I'm, obviously, a very visual person myself lol

[@justnyla2780]

@@ICUAdvantage is there a function in a application that makes it glow

[@DLICIOUS42]

My best friend died from Septic shock and pneumonia back on Feb.4. She already had end stage renal disease before she went in the hospital. She had 2 seizures prior to being admitted to the ICU. I wonder if certain vaccines like pnuemoccocal vaccine and influenza would have prevented this sepsis. She was 57 ❤😢

[@venkybly]

Tq

[@ICUAdvantage]

yw

[@gc31]

To make the “1hr bundle” easier to remember, we have a system we are taught in the UK - the Sepsis 6: It involves taking 3 things, and giving 3 things: Take: 1) Blood cultures (ideally before antibiotics but do not delay antibiotic administration) 2) Lactate levels (e.g. on a blood gas) 3) Urine output (?catheterisation) Give: 1) High flow oxygen 2) Broad spectrum IV antibiotics 3) Fluid resuscitation (progressing to vasopressors in an ITU setting)

[@ICUAdvantage]

I like it! Simple and concise!

[@ibader7273]

So heartbreaking, i lost my mom to this, so sad.!

[@geokouassi9771]

Thank you. I’m not in healthcare but I got it.

[@ICUAdvantage]

Great to hear. Glad you liked it.

[@johndespard3477]

Can this be misdiagnosed? My mom just passed and it says septic shock on the death certificate. But also pneumonia. The first day in the ICU (24 hours after 2 ER visits) she was diagnosed with sepsis. She was having severe cognitive problems, high respiratory rate, and low blood pressure. Blood cultures taken a day before in the ER came back positive for MRSA. However, the ICU (at a different hospital) said that their blood cultures were negative. They had a BiPAP mask on and off of her, and were telling me that all her numbers were returning to normal. However, she wasn't really coming out if it/waking up. She was fighting the mask too, so I found out she was being sedated and restrained. My mom was extremely sensitive to sedatives and painkillers, so just as a breathing tune was being mentioned I asked them to stop the sedative. My mom shortly woke up. Unfortunately, she mouthed the words "I want to die". So the docs started "comfort care" with large amounts of morphine. Part of me is like WTF, was it just the sedative? It's sort of messing with my head.

[@OO-be3jz]

Please can you do ARF/ARDS? Thank you

[@ICUAdvantage]

Yes, I do have them on the todo list

[@sheriettaanglin6548]

Wow my sister just had surgery a few days ago and also experienced septic shock . She had her 3rd surgery in 4 days. She also has a wound vac. Her abdominal tissue needs to be removed and stomach muscles .

[@sheriettaanglin6548]

Thank you for this information

[@s.t.1891]

thaaaaaaaaaaanx

[@jameswright2128]

What software program are you using for your videos???

[@ICUAdvantage]

Simple stuff actually James. Just Adobe Photoshop, screen casting to an iPad and using an Apple Pencil on there. Record part of the screen with QuickTime 😊

[@tammykoble236]

Have you heard of the program At East Virginia medical Hospital? They are averaging an 80-90% success rate bc they have realized that septic shock can be treated with intravenous vitamin C, steroids and thiamine (a b vitamin). This protocol is being adopted in many countries yet Americans in other parts of the country are not aware of this near miraculous discovery.

[@mrjesuschrist2u]

Marik protocol. Single study in 2016 small sample and not rct but def worth considering the lack of negative possible outcomes of giving IV vitamins.

[@nic2387]

Hi Eddie, what is the difference between Pulmonary Oedema and ARDS, or are they essentially the same thing but from different causes? :)

[@ICUAdvantage]

So pulmonary edema is fluid in either the alveoli and/or interstitial areas. ARDS is a complex lung disease, inflammation and damage of which pulmonary edema (primarily alveolar) is associated. Certainly warrants more discussion and I do have both topics on the todo list!

[@nic2387]

@@ICUAdvantage thank you Eddie, sounds good! 🙏

[@jacobbell6914]

Very nice easy to understand information, I’m an md

[@mariespi96]

How long typically before the kidneys work again after acute kidney injury or do they stop working?

[@ICUAdvantage]

It truly depends. Theres no clear answer to this. Sometimes they come back sometimes they don't. Sometimes it is quick, sometimes it is prolonged.

[@exceldivine]

When my mother got septic shock her kidneys came back to full function in I would say 10 days with dialysis.

[@5omethingsBetterThanNothing]

king

[@archieblue2801]

Last september I got pneumonia, i thought it was a cold or flu but long story short after about 2 days I was extremely sick got rushed to the hospital & hooked up into a ventilator put into a induced coma (ladted 8 days) got septic shock that same night & was told (after waking up from coma) I only had about 30% chance of surviving. the hospital called my family at about 1-2am to possibly say goodbye. Luckily I survived but I am still not fully recovered from it & I would say im in the higher risk for the cornavirus. Like i said the doctors told me if i was old or really young the 30% chance of survival would be lower then 30%, is there different types of septic shocks because you said it was 50%?

[@ICUAdvantage]

Honestly the survivability statistics vary so much depending who you ask. This is a generally accepted number.

[@archieblue2801]

@@ICUAdvantage Oh ok fair enough that makes sense, that's still a very high chance & I'm so greatful I survived but it did change my body in some weird ways still. Thanks for the reply stay safe.

[@rogervanbommel1086]

Question, is it possible to survive septic shock/sepsis without treatment or is there certain death?

[@ICUAdvantage]

It is survivable.

[@rehanaakhtar6218]

I had sepsis in may 2017 than sepsis and septic shock in November 2021 and again sepsis 2. Weeks before don’t understand why me is there anyway to protect myself with this horrible situation

[@marigoldmamaa]

My fiancé is in the hospital right now with sepsis, unfortunately we are unable to get information on his status but last update we had was his... BP was 129/62, HR 112, O2- 94%. Was told his extremities are swollen and he has fluid on his stomach. Can anyone explain these results to me? I know it’s vague. He did have low grade fever yesterday, too weak for PT.

[@ICUAdvantage]

Hi Nikki and so sorry to hear about your fiancé and hoping for a speedy recovery for him. As for your questions, I really couldn't speak to his situation and the complexity of what may or may not be going on. My suggestion would be when you speak to the staff next time, let them know if they are saying something that you don't understand or ask them to further explain so you can understand. I think that most would be more than happy to do so and often don't realize they are talking a foreign language to people. Take care.

[@han4691]

Eddie, I love your videos and I share them with all the nurses I orient in the ICU. However I feel some of the information in this video is not entirely accurate. It’s a common misconception that sepsis is an infection in the blood stream. It’s actually not. Sepsis is the body’s exaggerated response to an infection that leads to a systemic chain reaction. Bacteremia and sepsis are two completely different things.

[@ICUAdvantage]

You are correct. Certainly bacteremia makes up a large portion of cases of sepsis, it isn't always the cause. I'll plan to clear this up in a future video I do specifically on sepsis. Thanks for the comment as well as sharing of the channel!

[@ibader7273]

I HATE SEPISIS, IT KILLED MY MOM!

[@SunilKumar-zg5hu]

My mother died of sepsis and shock its a deadly infection...I hope researchers will find more effective medications....

[@minakshi7530]

How old was she ?

[@SunilKumar-zg5hu]

@@minakshi7530 she was 56

[@minakshi7530]

@@SunilKumar-zg5hu my mother was 58 , due to Scrub Typhus she got septic shock .

[@Vicky-gb8yi]

i have a silly question. why is levo the first line vasopressor thats used in sepsis?

[@ICUAdvantage]

Not a silly question at all. They did studies looking at the effectiveness of various vasopressors and found Levo to get the best bang for the buck, if you will. Levo is a pretty potent vasopressor with limited other effects, which probably explains that.

[@Vicky-gb8yi]

@@ICUAdvantage thank you so much for that explanation.

[@danao1796]

Great question

[@kalkanciii]

R.i.P. Mohammed Ali

[@ICUAdvantage]

?

[@kalkanciii]

@@ICUAdvantage his death cause i wanted to know more about it.

[@ICUAdvantage]

Interesting info and thanks for sharing! I didn't know that was why he ended up dying.

[@jefflim1838]

How is septic shock diagnosed?

[@ICUAdvantage]

Great question Jeff. The surviving sepsis campaign actually has a lot of great information on this. But first and foremost there must be an infection, either known or suspected. This is why we get cultures, especially blood. From there, there are several indications that would meet criteria for sepsis. Theres a lot to mention, but things like hypotension, fever, tachypnea, tachycardia, etc etc. You have to have 2 of those for sepsis. Then, for septic shock, this is the most advanced stage of severe sepsis where the hypotension persists after fluid resuscitation.

[@drharinibp7128]

I lost my dad in ICU 3 months back due to this septic shock

[@ICUAdvantage]

I'm so sorry to hear about your dad!

[@namratadhanjani4118]

My father died last month because of syptic shock

[@LazeChap]

Watched this because of Ali

[@ICUAdvantage]

2nd person to have said this! I didn't know the first time why, but now I do.

[@jefflim1838]

Who is ali

[@georgepavlik9055]

The only comment I would have to make the videos more suitable for a studying nursing student is utilizing generic names such as, norepinephrine instead of Levophed. I hear the NCLEX will only give us the generic names. But I do understand adrenaline is more common and easier to say than epinephrine. I will keep watching either way! I'm here because you do a fantastic job of explaining the pathophysiology, which makes the signs and symptoms make sense instead of just blindly trying to memorize a book.

[@ICUAdvantage]

My apologies as this was an earlier video and I tend to just use the most commonly used name. I do try and cover both names, especially when doing specific med reviews, but if they are in quick mention/passing in videos I may just use the common usage here.

[@lindapestridge3073]

@@ICUAdvantage cor aren't some people dumb.

[@johannaalzamora5632]

Hi is Levofloxacin good and what's the dose? . Thank you!

[@mr.crabsfrfr1729]

Remember how gross it was when Meg died

[@ICUAdvantage]

?

[@rogervanbommel1086]

?

[@MO-zo9bf]

How long it takes to survive a septic shock in the ICU unit ? How many days ?

[@ICUAdvantage]

Impossible to say. It depends on way too many factors. Could be days, could be months.

[@kevinmiller2210]

My dad just died from sepsis shock

[@shantanubartakke4194]

I got reasion of my mom death .

[@ICUAdvantage]

I'm so sorry to hear this! 😔

[@millianopar9036]

I sadly lost my dad to septic shock😭

[@ICUAdvantage]

So sorry to hear this!

[@millianopar9036]

It’s Ohkay we taking it day by day

[@jolieapuzzo861]

So this is what killed my cat. Wish I saw this beforehand. 😞

[@ICUAdvantage]

:( So sad to hear about your cat!

[@brendankelly483]

Make sure sorry.

[@ladykathryn1385]

I’m not sure if you’ll see this comment. But I was wondering what would make the bacteria enter the bloodstream in the first place? Btw thank you for this incredible video!!!!

[@blowurn0se]

Came here after a woman died of septic shock due to an abortion pill

[@ICUAdvantage]

I'm sorry to hear that 😔

[@npkrn6764]

I don't think that in and of itself is possible. There had to be a pathogen...an infection from a germ.