What are the approach considerations in the workup for sepsis or septic shock?

Updated: Oct 07, 2020
  • Author: Andre Kalil, MD, MPH; Chief Editor: Michael R Pinsky, MD, CM, Dr(HC), FCCP, FAPS, MCCM  more...
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Answer

Early recognition and management are key in patients with sepsis or septic shock. Cardiac monitoring, noninvasive blood pressure monitoring, and pulse oximetry are indicated in patients with septic shock. These measures are necessary because these patients often require admission to an intensive care unit (ICU) for invasive monitoring and support. Once patients are stabilized, clinicians can determine their approach to the diagnostic workup.

Investigative studies include laboratory tests, imaging modalities, and possibly lumbar puncture/spinal fluid testing to detect a clinically suspected focal infection, the presence of a clinically occult focal infection, and complications of sepsis and septic shock.


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