Sepsis
SIRS plus Infection
What is Sepsis
Should be Collected BEFORE Antibiotic Administration
What is Blood Cultures
Location of Fluids/Flushes
What is side drawers
How often should PleurX catheter be drained?
What is as directed by physician order.
SIRS plus Infection and at least 1 Sign of Organ Dysfunction
What is Severe Sepsis
Number of SIRS Symptoms to Meet Criteria for Sepsis
What is 2
Lab Indicator of Inadequate Tissue Perfusion
What is Lactic Acid
To attach combo pads (defib pads), this should be disconnected first
What is Test Load
Continuous Bubbling in Chamber C
What is an Air Leak
Humidification should be used at what flow rates with a nasal cannula?
What is greater than 4L/min
Common Infections that can Lead to Sepsis
What is Lung Infection, UTI, Gut Infection, Skin Infection
Amount & Type of Fluid if Patient Hypotensive or Lactate >4
What is 30mL/kg Crystalloid Fluid (examples: Normal Saline, LR, 5% Dextrose)
What setting should be used when combo pads (defib pads) are not placed on the patient to view cardiac rhythm?
What is Lead II
How much fluid should be drained from a PleurX Catheter?
What is until drainage slows, stops, or patient experiences discomfort. Never more than 1000mL
Too Much Oxygen is Dangerous for This Patient
What is COPD Patient (Oxygen Saturation Goal: 88%-92%)
Temperature Parameters for SIRS
What is > 100.9 or <96.8
Initial Lactate >2 mmol/L, when should the next lactate be drawn?
What is within 2-4 hours.
Altera set to reflex in 1 hour if initial level >2.
What feature on the defibrillator will guide you during a code?
What is Analyze Mode/AED Mode
Rise and Fall of the Float Ball (Chamber B) with Inspiration and Expiration
What is Tidaling
Frequency that Inner Cannula should be Cleaned/Changed (If disposable)
What is a least twice per day
Pulse & Respiration Parameter for SIRS
What is >90 beats per minute and >20 breaths per minute
Lactate, Blood Cultures, and Antibiotics should be Done/Started
What is within 1 hour of recognition of Sepsis
Where do you obtain intubation meds?
What is Omnicell
Prevents Air and Fluid From Escaping from the Patient's Pleural Space Increasing the Risk for Tension Pneumothorax
What is Clamping the Chest Tube
Purpose of Bedside Shift Report (Name 2)
What is
-Engage family/patient in care
-Share accurate/useful information
-Ensure Safe Hand-Off
-Improve Quality Care and Optimal Patient Outcomes