Tuazon, Jennah Ricci J.

NR31

SEPTICEMIA

Septicemia is also known as bacteremia or blood poisoning. Septicemia occurs when a bacterial
infection enters the bloodstream. Untreated septicemia can quickly progress to sepsis, which is a serious
complication of an infection characterized by inflammation throughout the body. This inflammation can
cause blood clots and block oxygen from reaching vital organs, resulting in organ failure and death in
some cases.

Causes

The root cause of septicemia is a bacterial infection (typically severe) in another part of the body.
Urinary tract infections, lung infections, and infections in the abdominal area are all potential causes of
septicemia. Bacteria from these infections enter the bloodstream and multiply, causing immediate
symptoms.

Symptoms

The symptoms of septicemia can quickly progress into a more serious condition if the blood
infection is left untreated. Even in the first stages of the illness, somebody who has septicemia will look
very sick.

The most common initial symptoms are:
1. Chills
2. Elevated body temperature
3. Very fast respiration and/or heart rate

Other symptoms that commonly emerge as the septicemia progresses include:
1. Confusion or inability to think clearly
2. Red dots that appear on the skin
3. A reduction in urine volume
4. Inadequate blood flow (shock)

Complications

Septicemia has a number of serious complications. If left untreated, it can be fatal.

1. Septic Shock

One complication of septicemia is a serious drop in blood pressure, called septic shock. Toxins
released by the bacteria in the bloodstream can cause extremely low blood flow, which may result in
organ or tissue damage. Septic shock is a medical emergency. People with septic shock are usually cared
for in a hospitals intensive care unit. Someone who is experiencing septic shock may need to be put on a
ventilator (breathing machine). Septicemia that leads to septic shock has a death rate as high as 50 percent
(Johns Hopkins).



2. ARDS

A second complication of septicemia is acute respiratory distress syndrome (ARDS), a life-
threatening condition that prevents enough oxygen from reaching the lungs and blood. According to the
National Institutes of Health, ARDS is fatal in about one-third of cases. It often results in some level of
permanent lung damage. It can also damage the brain. This can very easily lead to problems with
memory (NIH, 2012).

Diagnosis

To diagnose septicemia, your doctor will evaluate your symptoms and medical history before
performing a physical examination to look for low blood pressure or body temperature. The doctor can
also look for signs of conditions that often occur in conjunction with septicemia. These conditions
include pneumonia, meningitis, and cellulitis.
Your doctor may perform cultures on urine, blood, and skin sore samples to confirm bacterial
infection.
Some tests that may be performed include:
1. Blood cell and platelet counts
2. Tests to analyze blood clotting
3. Tests to analyze oxygen and carbon dioxide levels in the blood (if septicemia is
causing breathing issues)

Treatment

Septicemia is a medical emergency that must be treated at a hospital. Many people with
septicemia are admitted to a hospitals intensive care unit (ICU) for treatment and recovery. Treatment
depends on several factors, including:
1. Age and overall health
2. The extent of your condition
3. Tolerance for certain medications

Antibiotics will be used to treat the bacterial infection that is causing septicemia.

Fluids and other medications may be administered intravenously to maintain blood pressure or to
prevent blood clots from forming. Oxygen may also be given through a mask or ventilator if you
experience breathing issues as a result of septicemia.