During adult sepsis protocol, what should be done with a transdermal patch if present?

• A. Leave patch in place
• B. Remove transdermal patch
• C. Cover patch with occlusive dressing
• D. Ignore patch

Answer: (B)

Transdermal patches deliver medication steadily over time, so having one on a patient who’s being treated for sepsis means there could still be ongoing drug absorption that interferes with your treatment or alters the patient’s response. Removing the patch stops further absorption, reducing the risk of drug interactions with antibiotics, IV fluids, vasopressors, or other therapies, and helps you accurately assess and manage the patient’s condition. After removal, wipe away any residue and dispose of the patch properly. If pain control or symptom management is needed, switch to appropriate parenteral medications rather than relying on the patch. The patch should not be left in place or ignored.