Give me a shock
Inadequate supply of oxygen and nutrients to the cells because of poor tissue perfusion
What is shock?
Hypotension, bradycardia, hypothermia
What is neurogenic shock?
Early identification and source control
What is the priority of care for shock patients?
Respiratory Rate >20/min, Heart Rate > 90/min, MAP <65, Temp >38.3ºC or < 36ºC, actual or suspected infection
What are initial sepsis criteria?
Notification received in the EMR when patient meets sepsis criteria
What is the Early Signs of Sepsis OPA?
Shock state caused by decreased circulating volume
What is hypovolemic shock?
Progressive hypotension and tachycardia, narrowed pulse pressure
What is hypovolemic shock?
Compensated, progressive, and irreversible
What are the stages of shock?
What is the target volume resuscitation for sepsis?
Sepsis screening outcome for patients at high risk
What is Sepsis Alert?
May see this type of shock when contractility is low
What is cardiogenic shock?
Hypotension, tachycardia, vasodilation, anxiety, edema
What is anaphylactic shock?
Medication class used to treat cardiogenic shock
What are inotropes?
This should be given within the first hour after identification.
What are broad-spectrum antibiotics?
The action that will cause the patient to be excluded from the sepsis pathway for 8 hours
What is Suspend Alerts (8H)
May be caused by any diagnoses that impedes blood flow
What is obstructive shock?
Massive vasodilation leading to an increase in size of the vascular compartment in proportion to the fluid volume
What is distributive shock?
Lab test done to evaluate tissue perfusion in shock
What is lactate?
The 2 most important sepsis lab studies
What are lactate and cultures?
This OPA reminds you to order this lab
What is the Order Lactate OPA?
Anaphylactic and septic are types of this shock
What is distributive shock?
Hypotension, muffled heart sounds, pulsus paradoxus, PEA arrest
What is obstructive shock?
Hypothermia, acidosis, coagulopathy, hypocalcemia
What is the lethal diamond of shock?
up to 50%
What is the mortality rate from septic shock?
For this OPA, Dismiss and Continue is the correct documentation.
What is the Severe Sepsis Warning OPA?