Septic Shock Nursing (Sepsis) Treatment, Pathophysiology, Symptoms Distributive
Septic shock nursing NCLEX review about the treatment, pathophysiology, symptoms, and nursing interventions.
Septic shock occurs due to sepsis and leads to major decrease tissue perfusion. Septic shock is a form of distributive shock, which affects how the small vessels supply blood to the cell's tissues and organs.
Septic shock pathophysiology includes: massive system-wide vasodilation, increase capillary permeability (leads to relative hypovolemia), clot formation in the small vessels. All of these factors contribute to decreased tissue perfusion and leads to shock.
Characteristics of septic shock include persistent hypotension that does NOT respond to fluids, requires vasopressors (Norepinephrine) to keep mean arterial pressure greater than 65 mmHg, and serum lactate greater than 2 mmoL/L.
Other symptoms of septic shock include:
"Early": warm flushed skin, increased heart and respiratory rate, restlessness, fever, increased or normal cardiac output and decrease systemic vascular resistance, decreased blood pressure
"Late:" cold/clammy skin, severe hypotension, respiratory failure, oliguria (renal failure), low cardiac output and increase systemic vascular resistance, coma
Treatment for septic shock include: fluid replacement, vasopressor, oxygenation (mechanical ventilation), glucose control, monitor serum lactate, Foley catheter to measure urine output, hemodynamic monitoring, enteral nutrition etc.
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Hey Everyone! This video continues our "Shock Series". UPDATE: Starting at 19:09 Protein Activated C, Drotrecogin alpha "Xigris", is no longer on the market and used in the treatment of Septic Shock. Don't forget about: Quiz: www.registerednursern.com/septic-shock-nclex-questions/ Notes: www.registerednursern.com/septic-shock-nclex-review/ More Shock Videos: kzhead.info/channel/PLQrdx7rRsKfWj2TbPcyAcNCilffYLe3NK.html Nursing Gear: teespring.com/stores/registerednursern Facebook: facebook.com/RegisteredNurseRNs Instagram: instagram.com/registerednursern_com/ Twitter: twitter.com/NursesRN
Thank you sooo much from PBSC!! This video is PERFECTLY timed I have a test tomorrow!! Thank youuuuu Sara ♥
Hi Sara, you are awesome . Could you plz explain culture diversity topic in nclex review content .
sarah! thank you so much for all your videos! Can you explain SIRS and MODS in another video?
Do you have a video about Septic shock aftercare? What is the recovery time?
You are the best, I am medical student, and I learnt a lot from your videos, thank you so much for your amazing explanation ❤️
Sarah, can I please send my school tuition to you? They dont deserve it. Thanks for all your awesomeness!!!!
Literally this
I’ve been a nurse for 3 years and I still come back to these videos. Very helpful and the mnemonics are great. Thanks a bunch ☺️
She is 😍😍
Me too I'm a nurse 👩⚕️
Thank you for your videos! I'm an actress playing a nurse in a film, and I have been watching all of your videos to learn about how to accurately portray a nurse. Thank you for your work you do in the world, wow, being a nurse is such an important job, and if any nurses are reading this BLESS YOU and STAY SAFE AND HEALTHY!
My brother died of sepsis, it was so hard and I have a lot of questions since it happened so fast. He was just three days in the hospital then he died. Thank you for doing this. Thank you for providing helpful insights in the medical field. More power to you.
I'm sorry for your loss. What questions did you have?
One article I read said that Sepsis can kill in 12 hours. 💔
@@echase416 Sepsis can kill someone very rapidly, especially if early signs are not caught. Once patients get past the compensatory stage and into the progressive stage, it is harder to treat because tissues and organs start dying. This is why it is so important for nurses to assess their patients frequently and notice any subtle changes.
I’m sorry for your loss 😢
I am very sorry for your loss. I hope you feel better now. @RegisteredNurseRN thank you for your explaining. Has the neurogenic shock video come out yet?
I passed the NCLEX thanks to all of your videos 2 years ago. I've been working as an RN for a year and a half and you're still taking me to school! Thank you for all you do and please keep it up!
I've had sepsis 4 times (that I can remember at the moment). Two of those were only discovered after/during septic shock. I was fortunate enough to have an EMT student for a boyfriend the first time because I passed out...we knew I had an infection, I was sent home from the ER numerous times in the weeks prior and I begged him not to take me back but he carried me to his car and my condition was rapidly deteriorating. I was admitted 7 days the first time (1993), 7 days the second time (1995) (also pregnant), 4 days the 3rd time (2007) and 6 days most recently (2018). I encourage any nurses to please ask me questions....clearly I have earned professional patient status at this point lol. I have also survived MRSA in 1996 after one of 9 kidney stone related surgeries (I had a brilliant home care nurse!! She knew I was not yet well and kept sending my blood in, finally on the last day insurance would allow her visit she took it again and there was the MRSA, I had been sick so often so long, I didn't recognize not feeling well, I never felt well then). Seriously, please ask me anything, I am happy to help. I learned about Post Sepsis Syndrome last friday and I am definitely suffering from that and no doctor has ever once in 25 years mentioned that it's thing and that could be the cause of some of my lasting symptoms, so I want you all to know as much as you can. Thank you!
Thank God you are here after having sepsis 4 times. I prayed in the name of Jesus that you won't get sepsis again.
What is post sepsis syndrome? I survived septic shock and ards with hypoxia 4 mos ago.
I can't believe how easy you made it. I am an international RN. Before taking the NCLEX, I watched all your videos and I passed. You have a natural talent to make things clear and easy to learn. Thanks!
The timing of this upload was impeccable! We literally just had our shock lecture :) Can't wait for the rest of your shock series
thank you big help for a bedside nurse, I love your teaching style, plain and simple easy to understand.
You are an absolute blessing Sarah. Thank you for sharing your knowledge. SO grateful. You teach me more than my lectures do..... love from Australia x
I am not a new nurse but went from being a nurse in substance abuse after many years to hospice and home health so I really appreciate these videos to review my skills and learn new things.
I literally have an exam on this Monday so this came at the perfect time !!!
It has been a while since I had a patient with septic shock and I had a 12 year old tonight with it after stepping on a old rusty nail last week. I decided to watch your video to fully refresh my memory on septic. Thanks for the video- Gage ACNP.
We had a bacteria class in my patho. Our patho has been self taught all year so far and you’re basically my prof thank you
Great as always.The most challenging patients I have ever worked with.
My dear friend is in the hospital currently with sepsis after surgery & septic shock. This is the best video I’ve found yet that describes what’s going on etc. Thanks for posting.
Sarah...thank you so so much! I can't tell you how many times you saved me. You make nursing school so much easier! This is my last semester and I am so grateful for you!
Sarah!!!! I've been a Nurse since middle September and your videos definitely helped me thru those nursing tests! Keep up the good work!!
I am a Recovery from Sepsis during 2017. It was scary. I almost DIDN'T make it. I am lucky to have another chance to live life.
My fiance right now is in the ICU and they had to put her on ventilator and think the infection is on her heart valve and are going to do some sort of prceedure to find the infection. The doctor told me if they can't get it under control by Tuesday they will have to prepare to keep her as comfortable as possible to pass away. I'm at a loss right now 😭
@@alexroyster182 did she make it my wife just passed Thursday from this
Thank you for making this video so easy to understand. I happened upon it because one of my favorite people, opera great Jessye Norman, died from septic shock and I wanted to try and understand what may have happened to her. I was so devastated when she passed away, and because of the manner in which she passed. I just hope she wasn't in agony before she left this earth.
I have exam on septic shock after 2 weeks. This is so helpful and thank you so much for your amazing work! Much appreciated.
I am very impressed with your teaching skills and your knowledge. Very much appreciated!
Hi Sarah, i always love your content :) Thank you so much for the amazing lecture you shared with us!! I've been doing my clinical study at home instead of at the hospital. It's so sad, but your videos help me a lot :)) Hope you and your family have a good day
My mother is currently in icu recovering from septic shock. At 84, it was been worrying, but she is recovering smoothly.
New nurse who needed a refresher on sepsis/shock material. Always come back to you! Thank you!
You played a big role in I passing the PN exam on 1st attempt with after 100 questions. Thank you So much, I pray that God Blessed you wish all kinds of blessings. And I will come back for my RN review. Thank You
We are so blessed to have your videos!! Thank you so much for all of your hard work!
I found your channel last month, and got an A on my test on the renal and endocrine system because of these videos. My next test is Friday, and I'm aiming for another one! I can't believe how much I learn just watching these. Thank you thank you thank you!
Do you know what kind of specialist doctors found out this disease. What doctors help me. My primary care don't understand. .I have symtoms
For me, as a nurse, I had perforated bowel, 8 liters of poo removed and 14 washout surgeries, 5 months in the hospital 2 of those ICU. Horrible. still recovereing, sepsis, multiple organ failure, and ARDS< and scarring in lungs.
Same here, lost 2-3 units before sepsis turned to shock and those nasty 3 made it really ugly. I was lucky that I had a great hospital near Chicago that used this latest tech in the ICU to do bedside dialysis and clean out my blood of anything and everything related to the blood clotting and organ failure. They never found the bleed, it recurred 2 days after first release and then I've been stable +1 year. I did have several stents placed in my heart in areas that remained thrombotic. Who knows what other damage was done but im alive today and can thank great nurses mostly and the paramedics for moving fast after I coded at home. That bedside dialysis is a real game changer for septic shock.
In the UK studying nursing. Your videos are a lifesaver because we are taught that "sepsis is bad" but its assumed that we know what it is
you posted this just in time for me to study for my exam on it :)!
You are life saver,, I have assignment on sepsis and this is excellent 👌🏻👌🏻
the BEST video for septic shock out there!!! thank you!!!!! GOD BLESS YOU!!
I am a medical student, but your videos are just as good for me. You are an excellent teacher. Thank you so much for all that you do!
Thank you so much Nurse Sarah! You explain things so well
Hi Sarah I’m a new grad Rn And this was an interview question! Also I watched you all throughout nursing school Did well! Thanks I love that you share your faith as well That’s always a bonus !
I had Septic Shock last year and it made my transplanted kidney suddenly stop working and I had to start emergency dialysis as well as I was having trouble breathing and had to be intubated. When I came to 3 days later I was surprised to hear what I had. They also said I had Pneumonia but they don't know what came first .. that or the kidney failure or what exactly brought on the Septic Shock ... I am still on dialysis waiting to go on the transplant waiting list. I am stable even though still immunosuppressed as they kept me on the transplant meds to keep my antibodies down for when I get another kidney. Wow your video is so informative even for just a patient like me who is not a nurse or anything medical. By listening to you I wonder if with the Septic Shock why the kidney stopped working could have been the less blood flow bringing oxygen to the organ. Especially since the kidney when transplanted had already had ATN (Acute Tubular Necrosis) due to lack of blood flow 10 years earlier.
Thank you for explaining sepsis and septic shock. Your presentation is one of few that thoroughly explains the paths physiology of this disorder. I recently lost my mother to this horrific condition and everything you explained is what she went through. The very first sign was pain, altered mental status. When she was admitted into the hospital, they noticed low urine output and her kidneys was failing, then I was told her WBC was extremely high, and everything else went down hill from there. I’ve heard of sepsis or SIRS but didn’t know what it was and what it does to the body. I didn’t care or think to research it not until my mom was diagnosed with it.
My mum too, it was a surgery but the doctor made a mistake, sooo, it went all down hill, I was just 7
Just in time for my exam. Thank you!
very helpful for a med student ❤️
Your videos are SOOO helpful ! I have learned ANYTHING nursing related i need to know from YOU ! I am feeling much better about my NCLEX.
PLEASE PLEASE PLEASE pass along the after-effects of Sepsis. The majority of Sepsis survivors are never told what sepsis leaves you with. All of my after effects I had, I had to find out for myself on-line from other survivors.
Christmas came early! My Med-Surg final will be covering shock. Thank you so much!!
Still getting over septic shock. Was in the hospital 10 days! Cause: staphylococcus hominis.
I’ve got exams in 2 weeks, this lecture was great. Thank you! Please can you provide a lecture on sedation, pain & delirium before two weeks? Thank you for your support 💕
You explained Sepsis so well, thank you so much!!!
Your video lessons has helped me a lot in reviewing for NCLEX. You've made all those topics easier to understand and remember. Thank You!!! Lots love from the Philippines
Hi Sarah! Nice to meet you and greetings from Mx, and I´m a nurse student thank you so much you are a very good teacher (emoji loved)
It’s kinda sad I didn’t really know what sepsis was for a lot of my first year of med school 😅
@@BlackBird447 Probably because it can mostly affect older people more than any other age group.
@@toyoscio not in Africa
Same... but now my project is all about sepsis 🥴
Love your videos. Incredibly helpful, great instructor! Thanks
Do you have a MODS review ? Also thank you for all you do I'm in 4th semester and I've been watching you since 1st semester, you have guided me through !!!
I have no intention on becoming a healthcare professional but I think it is interesting learning about these things :) thanks for providing this important info in an easily digestible, easily accessible manner for laymen.
Absolutely amazing! So well explained
My husband had Sepsis and had everyone of these symptoms.He got it while in a nursing facility they didn't do anything in time and he died! It was a horrible death he was I'm so.much.pain that could have been prevented. Please watch out for any open sore.DO NOT go in any type of whirlpool or any other water as it has bacteria in it.Take care of yourself and others you love..😢
I went into sepsis shock from mrsa in my ear. I was very sleepy and confused and not talking. My blood pressure got down to 60/10. I had broken heart syndrome and my liver and also my intestines shut down. I had to be vented and had a femoral line.
You are just amazing!! You explain a complicated information in easy interesting way. God bless you ❤️❤️❤️
excellent video and very well explained. I am a paramedic but makes it simple for me. Thanks!
Never heard of this until I was home from the hospital I’ve been recovering since February it did do damage to my heart.
You're a great teacher Ma'am. Thank you for this informative video about septic shock. I'm here to know more about the septic shock that killed a best friend of mine.
Thank you so much for your videos. So helpful. You make things very easy to understand!
You are my best teacher ever ! Thanks alot 💘
Had a patient ask me about the patho of septic shock yesterday, I'm so glad I was able to explain it. Just watching this video to make sure I was right lol.
I had sepsis in 2016. I almost died from a rare and unusual fungal blood infection. The doctors didn't know what was wrong with me so they were treating me for the wrong things.. I had to have a broncoscopi and it took 10 days to culture the biopsy. Once we found out what we were fighting I was given the proper medicine to fight it. I was taking Methotrexate and was immunocomprimised.
Your channel is absolutely awesome!
Sarah you are a rockstar in the nursing profession. Your videos are super informative!
Thank you sarah you have always go all out of us making it easy thank you.
Sarah, You're AMAZING!!! I LOVE your videos!!!! Thank you, thank you, and thank you!
Hi Sarah. Great work with the videos. Can you make videos on traumatic brain injuries and Spinal cord injury. Awesome work!!!
Hi Sara, I managed to stop by here and watched your video. Very informative and this helps me widen my understanding of Septic Shock and Acute Circulatory Failures. I'm no Doctor neither a Nurse. I am an EMT who lost a son weeks ago due to Septic Shock and Acute Circulatory Failure. I wish to know more of this cases, if you can messaged privately. I would be honored to listen and learn from you.
you are a blessing, thank you for your perfect explanation
Hey Sarah, Can you make a video on DIC? There are not many resources out there for it!
amazing presentation! such a great and easy review
Loving the quizzes, so helpful. Can you do a video on DIC???
Could you do a video series on the different kinds of hypersensitivity reactions? I'm going over them in nursing school right now and having a little bit of a hard time keeping them straight in my head.
I've been doing research on sepsis because back in 2018 I had sepsis and I didn't really get the gravity of the situation I was in. I had not been feeling that great for about 6 months before sepsis decided to come in and completely annihilate me and honestly I'm surprised I'm still alive I was 97% leaning towards just trying to go to bed and seeing if I would feel better the next day but then I had to go to the bathroom so I forced myself up and walking to the bathroom took all my energy I could barely breathe anymore but by the time I got back to my bed my heart really hurt so instead of going to bed which I was going to do I called 911. When the ambulance picked me up they couldn't even test my sugar levels because it just wouldn't read my blood when I got to the hospital though within minutes of them taking a blood test the doctor was in there telling me I need to be admitted. I had sepsis endocarditis and I was severely anemic I think they said my red blood cell count was that like a four or something like that the very next morning after being admitted I woke up I ordered breakfast in the hospital took one nibble end lights out woke up in the ICU was no longer in my lovely private room and I was like what the hell happened then they told me I had a stroke... If that's not already bad enough if I would have waited a couple of hours to call the ambulance I would have been home alone for a whole week so I would have gone to bed hoping I'd wake up feeling better and within 15 to 20 minutes upon waking up I would have had a stroke and there would have been no one to help me. I even told the doctor I was considering waiting till next week when everybody got home from vacation they told me that I wouldn't have had a whole week that they don't even think I would have had a full 24 hours left they were thinking I would have had maybe another 6 hours of life in me without treatment it's crazy to think if I would have chosen to go to bed which I was literally 97% leaning towards I would have been dead dead the next morning if I wouldn't have gone and got treatment I probably wouldn't have had the stroke because I probably would have just gone to bed and not woke up. It blows my mind that I was literally on my deathbed and by simply changing one thing that's the only reason I'm alive because I really didn't want to call for help because I've been feeling really really really really really really really sick for a while because of my anemia I was so weak I didn't get up in the shower for almost 3 months because I just couldn't do it I didn't want anybody to see me like that but I said fuck it and just decided to call by simply telling myself I'm sure they see people in horrible conditions all the time so probably wouldn't be the first time they'd seen a patient that was too sick to get up and shower before coming to see them. Although I'm not really surprised sepsis was unable to kill me everything else has tried to I've been in and out of the hospital my whole life I've had everything if you look at my stomach area it looks like I sell my organs for money because of surgery after surgery after surgery so my body is very resilient it's been through the wringer a thousand times over and it seems like none of it will actually kill me my body just won't allow it and it is constantly on high alert for anything add to the ordinary.
love the way you teach, very easy to understand
Preparing for next semester by studying your videos :D
It was a very descriptive and in detail very very nice
Are the vasopressors brought on to work concurrently with the colloids/crystalloids or separately?
A close friend of mine was taken off the vent yesterday. (Life Support), Sceptic, Hospital Aquired Pneumonia, COPD, UTI(that I guess caused the Sceptis), add MRSA, she smoked until she went on the vent. I guess it all came from uti turning sceptic.
Has She recovered?
Thank you I got the answer of my cousin it’s just 5 days sick and today is gone… very very fast, he is too young just graduate of seaman.. just starting his journey😭😭
My sister let an infected tooth go for months without treatment. Absess after absess. So disgusting. She would not listen when she was feverish, vomiting, and had diarrhea....that she was in danger of septic shock. By the grace of God she survived. People need to take infection seriously. Most don't. So many unnecessary deaths.
im enjoying these videos, they are very helpful thanks
So thorough! Thank You! You're Great!! :)
I just survived septic shock and ards with hypoxia. I was in the icu for a week and med surg for 3 weeks. I haven’t felt myself since. Is it normal to experience insomnia, anxiety, body aches, etc after? How long does it take to recover. It’s been 4 mos, but I feel like it was just yesterday.
Thank you for your explanation, you are awesome. I finally understand.
I'm literally watching this with a fever and chills from a cut on my swollen arm but the cut itself doesnt seem to bad... I just hate going to hospitals
Toby The Karate Dog go bro
This is late but how are you?
My father passed from septic shock with PEA arrest feb 2020
Hai sarah tanks for your videos.could you olz upload a video on hemopilia and x linked recessive disorde plz.studying for nclex.i cant understand the topic.could you olz upload it.because you are a life saver for me now.becaus you are valuable teacher who know all contents
Please make video on types of sutures and drain.
My beloved sister passed away from this! I wish we could have known and got her to a hos]ital. There was a clear thin liquid on the floor that came from her body. What was that?
This is insanely detailed wow!
This video is amazing 😍❤
Hello medical community I am a c-diff and septic shock survivor and this is my story. I was born with sds, (swhachmens diamond syndrome) I went into the hospital due to severe vomiting and diarrhea 3 different ekgs and blood pressure machines couldn't pick up my heart I had a ct scan and they manually checked my blood pressure I was checked for sepsis I had septic shock so I was taken to icu but when I got there (not in my right mind) I denied a ventilator/kidney dialysis/even shock paddles I told my icu doctor that I didn't want anything she said okay then she asked me what sds was so I started explaining it to her in great detail as the nurse looked and said his blood pressure is dropping more I looked at her and said it mimics cystic fibrosis and I passed out I can remember the doctor watching over my vitals at the monitor she said how the fuck is he still breathing this is before they knew I had cdiff for sure because all stool samples I gave happened to be contaminated (when I poop I pee I can't help it....) 2 or 3 days later I woke up and got out of bed it was very difficult to stand and walk I felt so tired physically the bed alarm went off an the doctors and nurses ran in suprised the doctor said I shouldn't be able to stand let alone walk I thought I was still wearing my jeans and belt but I was in scrubs I grabbed where my belt buckle would have been located and said I'm Irish and that I had to take a shit the doctor said OK! And then hours later they found out I had cdiff I took a turn for the worse again my blood pressure started dropping and my vitals looked bad I had denied pain medication several times and had denied that blood clotting shot thingy to the stomach once I only took antibiotics+vancomycin and nausea medicine along with being pumped full of fluids the doctor wondered why I wasn't absorbing anything see she didnt believe I had sds even though it's in my medical records and even though I had someone bring my prescription for creon in she wasnt given it to me correctly for awhile they gave me 48,000 units of creon an I was able to get a reaction out of my body and started absorbing medication and nutrition my body wasnt near stable and I my heart was failing so they were gonna give me one of 3 medicines i disagreed and requested dopamine to open the heart valves the doctor that was treating me argued about it but the doctor i asked agreed after we talked about statistics of mortality taking those medications I survived an was in the hospital for 4 days total it's been a year an almost 3 months since that happened I am happy to be alive and able to see my children grow I am a MRSA survivor as well it was an infection in the joint of my knee and almost costed me my leg I feel very blessed I survived so much and after my colonoscopy was done they said it was like I never had an infection but I did follow instructions but I did something else to I ate yogurt (live probiotics) and I drank skin milk with (prebiotics) I also accidentally doubled dose on vancomycin but everything turned out good 🙂 I am lucky, happy to be alive 🙂 You know who you are doctor R, an doctor S thank you very much for saving my life (P.s) I started singing time of your life by green day and comfortably numb by pink floyd while pooping out tons of blood and inspired people on the icu floor to start singing an playing music the nurses let us play music for like 2 hours before they had to tell everyone to keep it down because it was like 3 or 4am it was great therapy 😇❤
sara can u do PHARM... videos??
Ma'am u are literally my favorite teacher :
My dad was saying my moms name I woke up probably any other night I would have not heard him. He was puking and was weak. He refused to go to the er. But when I heard him say my moms name we called 911 turned out he had sepsis and aspirationed pneumonia he then passed away on Father’s Day last year.
Sarah thank you for the great work well done as usual
Hi Sarah... Is Medical coding better than Nursing Job??? Please make a video. I'm a Fresher with Bsc.Nursing