Heart rate in sepsis

In sepsis, infection can trigger widespread inflammation, fluid shifts, fever, pain, and reduced circulation. The heart may beat faster to help deliver blood to tissues. Sepsis may begin with infections such as pneumonia, a urinary tract infection, or cellulitis. Chills, fever, feeling generally unwell, weakness, breathlessness, mottled skin, reduced urine, or new confusion can accompany it. Some people may not have a high temperature, so the overall pattern matters.

If sepsis is possible, seek emergency medical help immediately and explain the suspected infection and changes you have noticed. Do not wait to see whether rest lowers the pulse. Keep the person supervised, bring their medicines and medical information, and follow emergency dispatch instructions. Do not force food or drink if they are drowsy, vomiting, or unable to swallow safely.

Call emergency services for a racing pulse with confusion, fainting, severe weakness, breathing difficulty, blue or mottled skin, very little urine, or rapidly worsening illness. A clinician will assess circulation, breathing, mental state, temperature, and the suspected infection; treatment may need to begin in hospital.

Ask where the infection may be, how circulation and organ function are being monitored, which treatments are planned, and what changes should be reported immediately.