Many Faces of Sepsis
Body's inflammatory response to an infection
What is sepsis?
The most common cause of sepsis
What is Pneumonia
Vital Signs:
BP - 110/88 HR - 104 Temp - 38.2 RR - 24
What is SIRS - (Positive Possible Sepsis Alert)
80yr present to ED with ABD pain, weakness, watery diarrhea, fever and chills
Pertinent VS: 38.9, 112, 24, 110/70, 94% RA
Pertinent labs: WBC 15.4, Lactate 3.0
SIRS - Temperature, HR, RR, WBC
Organ Dysfunction - Lactate
Sepsis + Organ dysfuction
What is Severe Sepsis
This should be obtained prior to the administration of antibiotics
What is blood cultures
Lab indicator for inadequate tissue perfusion
What is Lactic Acid
28 YOF arrives in ED, c/o pain in foot. Stumbled off curb the evening before. Trouble walking. Foot painful, red, swollen & warm. Abrasion/avulsion noted to anterior lateral aspect of fifth metatarsal
Pertinent VS: 38.5, 98, 18, 125/70, 99% RA
Pertinent Labs: WBC 17.1, Lactate 4.0
SIRS - Temperature, HR, WBC
Organ Dysfunction - Lactate
Sepsis induced hypotension despite adequate fluid resuscitation
What is Septic Shock
Frequency of blood pressure monitoring during initial resuscitation phase
What is 5 - 15 minutes
Bolus amount a patient should receive
What is 30mL/kg of LR or NS
The most common cause of sepsis
What is Pneumonia
Start antibiotic within this timeframe
What is within 3 hours of Sepsis identification
Timeframe in which a repeat lactate should be drawn and resulted
What is 6 hours - This can also be drawn after fluid resuscitation