Mar
My daughter is 16. She was just released 3 days ago from the ICU after suffering from a kidney infection/pneumonia which developed rapidly into sepsis and sepsis shock. We’re very lucky that she lived. We went to a follow up doctor appt and she had a high pulse rate so the physician checked it in varying positions showing a more than 40 point difference between lying down, sitting up and standing. Please tell me what this could mean, she is scheduled to follow up on Monday (today is Fri) so they can re-check this.
When she was hospitalized with sepsis she required a dopamine drip to maintain her blood pressure which was rapidly falling to 49/27 at it's lowest. She was in ICU for 4 days.
Answer:
Sepsis is a very serious infection that actually causes your body to go into shock. When you go into shock, your blood pressure plummets - so that would explain her very low pressure (49/27).
Pulse is something different, which measures the heart rate, or how fast the heart is beating. (blood pressure measures the force of the contractions of the atria and ventricles of the heart). In your daughter's situation, she is probably still recovering, and her heart is still working very hard to keep up with her body's needs. When you’re lying down, your heart doesn't need to work against gravity to pump the blood, so it can pump at a slower rate and still get blood throughout the body (which explains her pulse at 68 when lying down). When sitting, there’s more gravity to work against, so the heart must pump faster to make sure the blood gets to where it needs to go (96). And even faster when standing up (110). Now, if she was exercising, her heart rate could go up to 180 or so, because the heart is working even harder to get blood to the working muscles. Does that make sense?
110 is acutally considered tachycardic, or a fast heart rate. But considering that she was so sick recently, her body is still under stress and is trying to recover. Her heart rate probably will be higher for a while until she’s 100% again.
Just a piece of advice - keep a log of blood presures and heart rates that you’re taking of your daughter (if you’re taking them at home). you can then bring it in to the physician and ask about any specific questions you’ve.
I'm glad your daughter is ok! Sepsis is a very scary thing.
Answer:
is she fat? that would explain everything. Because the fat can block heart arteries cause a heart attack
Answer:
kill her no other choice or cut her neck and drink her blood
Answer:
She is likely still having problems with blood flow to her kidneys due to the infection as well as various hormone imbalances caused by impaired kidney function. Or perhaps even the dopamine drip.
This may have pushed her pressure the other way by raising her pressure.
In addition infections can cause raised or lowered blood pressure.
Raised pressure is known as secondary hypertension.
http://en.wikipedia.org/wiki/Hypertensio…
The hospital will likely put her on dialysis. If they can help the kidneys recover and get the infection under control. She’ll likely recover, If that’s the cause.
High blood pressure damages kidneys and damaged kidneys can keep the blood pressure raised.
Both infection and some antibiotics can sometimes damage the Glomeruli leading to Glomerulonephritis.
http://www.nlm.nih.gov/medlineplus/ency/…
Still, it is impossible to know what’s going on by phone or on the web. See a physician.
A lot of things can cause tachycardia:
http://www.nlm.nih.gov/MEDLINEPLUS/ency/…
* A rapid heart rate and bounding pulse both occur normally with heavy exercise, pregnancy, fever, or high anxiety.
* A bounding pulse is often associated with high blood pressure or fluid overload. Fluid overload can occur with heart failure, aortic valve regurgitation, chronic kidney failure, and other conditions.