Through initial examination, the doctor determined that there was a very high risk of developing into sepsis - a dangerous complication that can threaten life if not treated promptly.
According to the family, the patient had type 2 diabetes for more than 20 years, had a cerebral vascular accident three years ago, leaving him with sequelae of left hemiplegia and had to spend a long time in bed. A week before being admitted to the hospital, the patient was tired, had poor appetite, and had decreased consciousness. When admitted to the hospital, the patient needs oxygen support, showing signs of pneumonia and a 4cm ulcer on the right thigh with pus, redness and swelling around.
MSc. Dr. Pham Thi Ngoan - Department of Intensive Care said that in people with long-term diabetes and hemiplegia, sleeping for long periods of time increases the risk of pneumonia and acute ulcers - infections that easily lead to sepsis. Initial damage can be minor, but if not properly cared for, bacteria will enter the bloodstream, causing inflammation to spread throughout the body.
The patient was actively treated with broad-spectrum antibiotics, controlled blood sugar with insulin, cared for ulcers and continuously monitored for indicators. After the initial stage, the perception, fever and dynamics have improved but still need to be closely monitored.
Experts recommend that people with diabetes who are elderly or have complications need to receive comprehensive care: Control blood sugar, supplement nutrition, be passive and prevent presbyteral ulcers. Prolonged fever, rapid breathing, fatigue, perception changes or increased heart rate are all early warning signs of infection, need to see a doctor immediately for timely treatment.
