A septic shock, also known as an infectious shock, is a serious systemic disease, a circulatory system failure and cell metabolic problems caused by sepsis, most commonly in the form of gland cactus infections, with very high mortality rates. In the early days of shock, patients suffer from such symptoms as vomiting, increased heart rate and reduced urine. As the condition developed, the patients began to become unconscious, with symptoms such as reduced blood pressure, shallower breathing and no urine. In late shock, the patient suffers from multiple-polluting failure (e.g. acute kidney failure, acute lung failure), internal haemorrhage, etc. Early warning of septic shock is therefore essential to save the lives of patients, and the following is a detailed explanation of the warning signal for septic shock.I. Vital signs
(1) Changes in blood pressure: The rise and fall of blood pressure is one of the most visible early warning signs of sepsis. Patients suffer from infections that lead to a failure of the body ‘ s circulatory system and a significant decrease in blood pressure. Typically, the patient has a constriction pressure below 90 mmHg or an average artery pressure below 65 mmHg. (2) Heart rate change: An accelerated heart rate is also an important early warning signal for sepsis shock. As blood pressure decreases, the body accelerates the pace of the heart to produce more blood in order to maintain the circulation of the whole body. The patient ‘ s heart rate is usually over 90 per cent. (3) Respiratory change: Inflammation of the patient ‘ s lungs with sepsis has caused a high rate of inflammation, which prevents the normal supply of oxygen, leads to respiratory difficulties and haste, and the patient needs to increase the rate of breathing to meet oxygen requirements. The patient usually breathes more than 20 times/min. (4) Temperature change: Inflammation caused by sepsis infection leads to disorders in the heart of the patient ‘ s temperature regulation, which increases or decreases. Patient temperature is usually above 38°C or below 36°C.
II. Decrease in urineA sepsis shock can cause a constriction of a small pelvic kidney, leading to a reduction in renal blood flow and a decrease in urine or no urine. The kidneys are the most vulnerable organ to infection and injury in sepsis, so urine is one of the important early warning signs of a sepsis shock. Usually, the patient has less than 30 ml/hx5 h urine.III. Condensation abnormalities
(1) Changes in slabs: Septical diseases cause abnormality in bone marrow blood function and excessive consumption of slabs, leading to a small decrease in blood and increasing the risk of haemorrhage in patients. (2) Condensed blood change: Septical shock causes inflammation in the whole body and disorders in the coagulation system, leading to abnormal coagulation functions, such as longer condensation time and longer enzymes.
IV. Consciousness Change
(i) A coma: a sepsis shock can cause a functional impairment of the cardiovascular system, leading to a change in the circulation of circulatory blood in the patient ‘ s body, resulting in insufficient circulation of vital organs, such as lungs, kidneys, brain, etc., and causing the patient to faint. (ii) Mental health: In the early stages of sepsis, the patient is affected by all-body inflammation caused by the infection, which affects neurological disorders and changes in the mental state of the patient, such as anxiety and fatigue.
V. Inspection anomalies
(1) White cell count: The increase in the number of white cells is one of the common indicators of changes in sepsis patients. The blood function of the human bone marrow has become intense under the influence of the infection, with increased blood levels accompanied by increased white cell numbers. Patients tend to check for white cells (WBC > 12,000/cm3) and may be accompanied by lacerated blood disorder (over 10%). (2) Anomalous blood biochemical indicators: Patients with sepsis are prone to abnormal blood biochemical indicators such as increased blood sugar and electrolytic disorders, which confirm the physical metabolic and organ disorders of the patient. (3) Anomalous levels of seroplacic acid: due to body tissue infusion problems and oxidation problems, sepsis patients experience a marked increase in sepsis.
Other early warning signals
(1) Blood cyclic disorders: In sepsis patients, carcinose vascular convulsions and circulatory disorders increase the amount of capillary refilling time. Usually, the patient is charged for more than three seconds. (2) Skin change: Skin loss of normal red, ash and white for sepsis patients.
Treatmentl Antibiotic treatment: Rational use of antibiotics can reduce mortality and prevent increased infection. At an early stage, broad spectrum antibiotics can be selected, and when the cause of the disease is identified, targeted antibiotics can be selected for treatment.l Liquid resuscitation treatment: liquids ejected with lactating liquefie, saline, etc., are fed into the body by infusion, supplementing blood capacity and increasing blood pressure.l Respiratory support: Oxygen for patients through nose catheters or masks, and pipe intubation if necessary.SummaryIn the light of the above, it should be noted that early warning signals of septic shock have a number of aspects, including vital signs, reduction of urine, condensation abnormalities, changes in consciousness, detection anomalies and other early warning signals. When the patient triggers these warning signals, appropriate treatment measures should be taken. As medical technology continues to develop, it is believed that there will be more early warning signals in the future to safeguard the lives of patients with sepsis.
