The Guide To Infusion Related Complications Septicemia In Hospice -

In this article, we will review the causes, signs and symptoms, intervention, and preventative measures of septicemia in hospice patients.

Septicemia is the presence of bacteria in the blood (bacteremia) and is often associated with severe infections.

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Sudden onset of chills, fever, general malaise, and headache
Increased pulse and respirations as fever increases
Flushed face, backache, nausea, vomiting, and hypotension are possible
Symptoms become severe, with cyanosis, increased respirations, and hyperventilation if condition goes undetected or untreated
Vascular collapse, shock, and death as organisms overcome the system
Usually no visible signs of infection at IV site

Notify physician immediately
Follow physician’s orders which may include removing catheter, blood cultures, and antibiotics
Hospitalization likely in most cases
Monitor vitals

Wash hands thoroughly before initiating infusion therapy or handling any part of the intravenous system
Check all solution for clarity, cracks, and presence of a vacuum
Cleanse site with antimicrobial agent (povidone-iodine, alcohol, or chlorhexidine)
Secure catheter to prevent in and out movement
Change dressing, tubing, and site per protocol
Use aseptic technique for all procedures
Change injection caps with each dressing change and after each blood draw