ABSTRACT

Background
Foot diabetic is a complex and chronic wound which has an impact on the morbidity and mortality of the patient.
Foot diabetic ulcer is a port de entry of microorganism to penetrate and infect the body and can cause sepsis shock
which is characterized by persistent hypotension and increased body temperature which requires a vasopressor to
maintain MAP ≥ 65 mmHg and serum lactate levels> 2 mmol / L (18 ng / dL)

Aim :
To achieve better management of sepsis shock in DM Patient in UKI Hospital

Case Description :
Patient Mr. KM 60 years old was sent to ICU UKI General Hospital unconsciously, with history of type 2 DM
for 5 years, ulcers in digiti I and II left lower extremity was found ,and was planned to get amputated as soon as
he reaches better condition . physical examination was done with results GCS E2M3V2 temperature of 38.9 C,
blood pressure 80/50 mmHg, and respiratory rate 33x / minutes, qSOFA 3.
Intervention :
Patient was administered broad spectrum antibiotics, norepinephrine, and ventilator V-SIMV is being installed.
Novorapid injection was given to maintain the blood sugar level.

Conclusion :
The management of sepsis shock in patient is expected to increase the ASA of patients who were previously ASA
5 to ASA 2 to make the patient capable to get anesthetized and undergo amputation procedure to get rid of the
source infection.

Keywords : foot diabetic, sepsis shock , qSOFA