Risk factors
What are the three 'R's' of sepsis management
Recognise, Resuscitate & Reassess
True or False: a maternal temperature of 38.8°C is a sepsis amber flag
False: Less than 36°C or greater than 39°C.
What is a neurological sign of sepsis?
Responsive to voice only OR pain only if unresponsive
When do you give IV fluids during sepsis?
When a person is hypotensive
True or False: Pasifika ethnicity is a risk factor for sepsis
True
What is a fetal finding might indicate maternal sepsis?
Fetal tachycardia greater than 160 beats per minute.
If present for > 24 hours this clinical finding becomes an amber flag - what is it?
PROM
During postnatal sepsis what might you need to consider for treatment?
Evacuation of retained products
Name a recent obstetric medical procedure linked to increased sepsis risk.
Third degree repair or termination of pregnancy
What is an abnormal postpartum finding that would raises your suspicion of maternal sepsis?
Malodorous vaginal discharge.
What blood test is used to guide escalation of care?
Lactate measurement.
What two priorities accompany maternal sepsis management
Assess fetal wellbeing and consider delivery
Exposure to what infection would increase concern for maternal sepsis
Group A Strep
State the two respiratory 'red flag' indications for sepsis
New oxygen requirement and a RR > 25 breaths per minute or more.
Diagnosis of what maternal infection is linked to early-onset neonatal infection?
Maternal group B streptococcal infection in the current pregnancy
In the Sepsis 6: What action do you perform even if a person is afebrile?
Draw two blood cultures from a single site
Would lupus during pregnancy increases sepsis risk?
Yes, this condition causes a person to be immunosuppressed.
Does a lack of a temperature rule out sepsis?
No, a person may still have sepsis despite having a normal temperature
When is a lactate ≥ 2 mmol/L not a reliable indicator of sepsis?
Immediately immediately after a normal labour and birth
What is your management priority if you diagnose a sepsis Red Flag in a primary birthing unit?
Arrange immediate ambulance transfer after consulting obstetrics.