1st order of business
Goal time frame for administering empiric antibiotic therapy targeted at suspected organism and site of infection.
What is 1 hour?
Most common source of infection in a septic patient.
What is the respiratory system?
This lab evaluates for end-organ hypoperfusion
What is lactate?
Recommended adjunct to patients who are hypotensive despite adequate fluid resuscitation.
What are vasopressors?
Although a patient may meet this criteria, it has little predictive value in determining the severity of illness and mortality.
What is SIRS criteria?
Appropriate rate for large volume infusions of IVF for initial therapy for severe sepsis or septic shock.
What is 30mL/kg?
Second most common source of infection in a septic patient.
What is the GI tract?
Frequency of trending serum lactate until there is definitive clinical response.
What is every 6 hours?
First line vasopressor in septic shock.
What is norepinephrine?
Respiratory rate ≥22/minute, AMS and SBP ≤100 mmHg
What is qSOFA
Mean Arterial Pressure goal that shows appropriate response to initial resuscitation.
What is 65-70mmHg?
Increased mortality is associated with bloodstream infections due to
What is MRSA?
A lactate level of greater than ___ mg/dL is associated with 28% mortality.
What is a lactate level of greater than 4 mg/dL?
What is dobutamine?
These are the preferred type of resuscitation fluids.
What are crystalloid solutions (NS and Ringer's lactate)?
Urine output goal that shows appropriate response to initial resuscitation.
What is greater than or equal to 0.5 mL/kg/hour?
Sepsis from this source has the lowest mortality rate.
What is the urinary tract?
Creatinine change associated with sepsis.
What is an increase of >0.5 mg/dL or 44.2 micromol/L?
Initial pressor for patients with septic shock that develop tachyarrhythmias.
What is phenylephrine?
And you can tell everybody this is your song
It may be quite simple but now that it's done
I hope you don't mind
What is your song/ who is Sir Elton John
Increases mortality from septic shock by 7% each hour this is delayed.
What is giving antibiotics?
This source of sepsis has the highest mortality.
What is ischemic bowel?
Septic patient with hyponatremia and hyperkalemia
What is adrenal insufficiency?
Adverse effects of epinephrine in sepsis.
What is a rise in lactate, increased oxygen
consumption, and decreased splanchnic blood flow?
This is appropriate in patients with septic shock that is refractory to adequate fluid resuscitation and vasopressor administration.
What is corticosteroid therapy?