policy
what is SIRS?
systemic inflammatory response syndrome
T/F
Physician order required for severe sepsis or septic shock bundle powerplansepsis alert will a
true
What perfusion statuses should be assessed and documented?
Vital Signs, Cardiopulmonary exam, cap refill, pulse evaluation, and skin examination.
list 2 symptom for SIRS
Hyperglycemia (140-200)
Respiration > 20
OR PaCO2 < 32 mmHg
Heart rate > 90
Fever > 100.1
WBC > 12,000
When should a a central venous catheter be inserted for a patient with severe sepsis/septic shock
what is within the first three hours of symptom presentation)
What is broad-spectrum antibiotic?
Medication that is not to be withheld during baseline laboratory studies.
what's severe sepsis?
2 SIRS sign and organ dysfunction> 2
What is the CVP management GOAL?
(Answer: what is cvp greater than 8ml within 6 hours of arrival)
What are the reasons for giving 30 mL/kg of crystalloid?
Administered for hypotension or lactic acid > 4 mmol/L as part of the 3-hour goals.
list 2 symptoms for severe sepsis
lactic acid > 2.1
oliguria
hypotension
bilirubin < 2 or > 10
platelet < 100,000
INR > 1.5
For sepsis alert, how soon should the attending physician receive an alert of the patients sepsis alert?
(Answer: what is 30 minutes)
What are hemodynamic goals within 6-hours?
A CVP between 8 - 12 & MAP >70 mmHg or SBP >90 mmHg.
what is septic shock?
hypotension caused by sepsis can't be treated despite fluid resuscitation
When a septic shock alert is fired what is the first thing the RN should do?
(Answer: what is call a rapid response)
What is a 12-lead EKG?
Part of the Cardiovascular STAT sepsis bundle procedure.