Septic-tank
Draw blood cultures x2, Draw lactic acid, start weight based fluid and start antibiotics.
What must be done in the first 3 hours after recognizing signs of sepsis?
Bacteria in the bloodstream.
What is Bacteremia?
SIRS and qSOFA
What are evaluation tools to identify septic patients?
SVI >10% after dynamic assessment
What is Fluid Responsive?
30ml/kg of Normal Saline or Lactated Ringers
What is weight based fluid?
Improper tissue perfusion as a result of severe loss of blood or other fluid from the body.
What is Hypovolemic Shock?
Lab indicator for inadequate tissue perfusion.
What is Lactic Acid or Lactate?
Uses the body's own blood volume to bolus the heart.
What is a Passive Leg Raise (PLR)?
Known or suspected infection and 2 or more SIRS criteria.
What is Sepsis?
Dobutamine, Dopamine, Levophed, Neosynephrine, vasopressin, Nipride.
What medications are used to treat shock?
The most common cause of Sepsis.
What is Pneumonia?
The assessment used to measure the heart's ability to tolerate fluid.
What is a Dynamic Assessment?
Temperature >100.4 or <96.8, Heart rate >90, Respiratory Rate >20, WBC>12,000 <4,000, or bands >10%
What is the SIRS criteria?
Late indicator of Shock.
What is Hypotension?
Vital Signs: BP 110/88, HR 104, T 101.3, RR 24
What are the vitals for a SIRS + patient
Two other possible treatments if a patient is not fluid responsive.
What is Pressors and Inotropes?
1.7 million adults in the U.S.
What is the number of people diagnosed with Sepsis in the U.S. annually?
Sepsis + Hypoperfusion despite fluid resuscitation
What is Septic Shock?
Advanced age, compromised immune function, chronic illness, invasive interventions, malnutrition.
Who is at risk for sepsis?
The parameter that measures the vessel resistance or afterload.
What is TPR/TPRI?