General
This is what the acronym SIRS stand for
Systemic Inflammatory Response Syndrome
Sepsis is a considerration when this vital sign is > 90
Heart rate
Skin signs that have poor pallor, mottling, or cyanosis is a sign of this stage
Septic shock
These lab values should be initially obtained prior to antibiotic administration
Blood cultures
After obtaining blood cultures, these medications should be administered within the first hour
Broad spectrum antibiotics
This is the term for the marked decrease in platelets and clotting factors during the advanced processes of SIRS and sepsis
Disseminated intravascular coagulation
(DIC)
Sepsis is a consideration when this vital sign value is > 20
Respiratory rate
A____ in urine output maybe an indication of sepsis
Decrease
This lab value rises due to changes in systemic metabolism during sepsis
Serum lactate levels
Alternating crystalloids _____ and ______ are the typical fluids administered in the septic client
Normal saline and Lactated ringers
This initiative advocates for prevention and early detection of Sepsis
Surviving Sepsis Campaign
According to Understanding the Essentials of Critical Care Nursing, temperatures outside of this range could be an indication of sepsis
>38 C (100.7 F)
<36 C ( 96.8 F )
This respiratory condition along with septic shock, has a very high mortality rate
ARDS ( Acute Respiratory Distress Syndrome)
The value for this lab may be normal or low during sepsis
WBC ( white blood cell count)
Insulin therapy is used to maintain blood glucose levels less than
180 mg/dL
Continued stress on the organ during sepsis often results in hyperglycemia
Liver
In the intitial stage of SIRS this state is often seen first regarding fluid status and systemic perfusion
Hypodynamic state
In this stage, blood pressure may return to normal range, before lowering significantly in the next stage
Severe Sepsis
These two lab values usually do not change until late in septic shock
H & H ( Hemoglobin and Hematocrit)
Crystalloids should be administered at a volume of
_______ within the first three hours of sepsis treatment
30mg/kg
This medication group can mask signs and symptoms of infection by suppressing the immune system
Corticosteroids
Sepsis is a consideration when this vital sign value is
<70 mmHg
Mean arterial Pressure
( MAP = {1/3x ( SPB-DBP} + DBP
When auscultating bowel sounds, this is the expected finding in clients with septic shock
Absent bowel sounds
Other biomarkers for sepsis are progressively increasing lactic acid levels and increasing
__________ levels
Procalcitonin
This is the priority problem for a client in septic shock
Mutilple Organ Dysfunction Syndrome (MODS)