HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Why Fluid Balance Important For A Patient With Sepsis?

default
Posted on Mon, 1 Dec 2014
Question: Why is it important for fluid balance to be maintained in a patient with sepsis? If a patient with sepsis becomes hypernatremic, .e.g., the sodium level goes up to 150 mmol/L then does this indicate that the fluid balance is not very good? If so then why would this matter? Lots of people get to be a bit dehydrated from time to time. If it is relevant, the patient does have kidney failure and CCF.
doctor
Answered by Dr. Prasanna Heijebu (1 hour later)
Brief Answer:
Fluid loss associated with sepsis is significant.

Detailed Answer:
Hi Sir.

Sepsis is associated with significant loss of water from the body creating a state of relative dehydration and hyper osmolality state causing hypernatremia.

This is particularly relevant in patients with multiple medical comorbidities.

Such fluid disturbances have to be promptly corrected, lest it will land the patient into renal failure and CCF.

Also high sodium can cause cardiac conduction disturbances.

Thank you.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Why Fluid Balance Important For A Patient With Sepsis?

Brief Answer: Fluid loss associated with sepsis is significant. Detailed Answer: Hi Sir. Sepsis is associated with significant loss of water from the body creating a state of relative dehydration and hyper osmolality state causing hypernatremia. This is particularly relevant in patients with multiple medical comorbidities. Such fluid disturbances have to be promptly corrected, lest it will land the patient into renal failure and CCF. Also high sodium can cause cardiac conduction disturbances. Thank you.