BUNDLE
We suggest that these bundles should be initiated within one hour of physician suspicion of infection-causing hypotension or lactate greater than 4 mmol/L.
WHAT IS A SEPSIS BUNDLE
A LIFE-THREATENING ORGAN DYSFUNCTION DUE TO A DYSREGULATED HOST RESPONSE TO INFECTION
WHAT IS SEPSIS
ACCESS
WHAT IS INSERT AND MAINTAIN A PIV
I'M WORRIED ABOUT AIRWAY AND THE HIGH FLOW N/C IS NOT IMPROVING MY PATIENT'S OXYGENATION.
WHAT IS INTUBATION AND VENTILATION
WHAT IS THE MOST IMPORTANT LAB TO TREND, DRAW INITIALLY AND REPEAT IN 3 HOURS
WHAT IS LACTATE
1) obtain a blood culture before antibiotics, 2) obtain a lactate level, 3) administer broad-spectrum antibiotics, and 4) administer 30 mL/kg of crystalloid fluid for hypotension
WHAT IS THE 3 HOUR SEPSIS BUNDLE
SIRS
WHAT IS SYSTEMIC INFLAMMATORY RESPONSE SYNDROME A serious condition in which there is inflammation throughout the whole body. It may be caused by a severe bacterial infection (sepsis), trauma, or pancreatitis. It is marked by fast heart rate, low blood pressure, low or high body temperature, and low or high white blood cell count.
CHEST X-RAY
WHAT IS A STAT PORTABLE
THIS ORGAN HELPS FILTER TOXINS AND WASTE AND IF THEY ARE INFECTED THIS MAY BE NECESSARY
WHAT IS DIALYSIS OR CRRT
WBC WILL BE ELEVATED
WHAT IS CBC WITH DIFF
A set of six tasks including: oxygen, cultures, antibiotics, fluids, lactate measurement and urine output monitoring
WHAT IS SEPSIS 6
SOFA
WHAT IS SEPTIC RELATED ORGAN FAILURE ASSESSMENT
PAGE THE TECH TO GET A .....STAT
12 LEAD EKG
EVEN IF THE PATIENT IS NOT DIABETIC WE NEED TO MONITOR THIS
WHAT IS GLYCEMIC CONTROL AND POSSIBLE INSULIN DRIP
ABG WILL REPRESENT
WHAT IS METABOLIC ACIDOSIS
ADMINISTERING ANTIBIOTICS
THIS PART OF THE BUNDLE WILL ACTUALLY SAVE A PATIENT'S LIFE
MAP
WHAT IS MEAN ARTERIAL PRESSURE-THE AVERAGE OF ARTERIAL PRESSURE THROUGH ONE CARDIAC CYCLE.
GOAL MAP FOR SEPSIS IS >65 MMGH
DOUBLE THE DBP THEN ADD SBP THEN / BY 3
NURS MISC ORDER
WHAT IS CODE SEPSIS
VASOPRESSORS
WHAT IS NOREPI, EPI, VASOPRESSIN AND DOBUTAMINE
A PROTEIN IN YOUR BLOOD THAT RISES IF YOU HAVE A BACTERIAL INFECTION, IF YOUR LEVELS ARE LOW THEY CAN RULE OUT A BACTERIAL INFECTION
WHAT IS PROCALCITONIN
THIS IMPROVES PATIENT OUTCOMES
WHAT ARE KEEN ASSESSMENTS AND EARLY INTERVENTIONS
CVP
What is Central Venous Pressure, which is a measure of pressure in the vena cava, can be used as an estimation of preload and right atrial pressure. Central venous pressure is often used as an assessment of hemodynamic status, particularly in the intensive care unit.
CONTACT FIRST PROVIDER AFTER
WHAT IS REASSESSMENT AFTER FIRST IV FLUID BOLUS
LONG TERM PLANNING
WHAT ARE GOALS OF CARE CONVERSATIONS
WHAT DO I NEED TO DRAW PRIOR TO ANTIBIOTICS
WHAT IS BCX2 OR PAN CULTURE