Two Generals
Sepsis
Sepsis Stats
Septic Tank
Bundle of Care
100
Temperature >38 C and Respirations > 20
What are two SIRS criteria?
100
Given if adrenal insufficiency presents

What is corticosteroid therapy?

100

437 per 100,000

What is the epidemiology of sepsis?

100
Perfusion
What is the main problem in sepsis?
100

Scripted set of sepsis interventions

What is Bundle of Care?

200
Heart rate > 90 and altered level of consciousness
What are two SIRS criteria?
200
Alcoholics, untreated GI disease, the elderly
Who is at risk for Sepsis?
200
10th
What is the ranking of sepsis deaths compared to other deaths in the US?
200
Gram Negative Baceria Gram Positive Bacteria Fungi Viruses
What the causative microorganisms of sepsis?
200

Start an antibiotic within 1 hour

What is part of the sepsis Bundle?

300
WBC count > 12,000 or < 4,000 and >10% bands
What are two SIRS criteria?
300
immune/inflammatory response is not localized to area around antigen
What is the body's response in sepsis?
300

10-52%

What is the mortality rate for sepsis?

300

Altered Level of consciousness

What is a SIRS symptom?

300

Large bore IV within 1 hr or Central line placed within 2 hours

What is part of the sepsis bundle?

400
SIRS
What is Systemic Inflamatory Response Syndrome?
400
Decreased blood flow to organ tissue
What is the body's response in sepsis?
400
Leading cause of death in noncoronary ICU (US)
What is severe sepsis and septic shock?
400
Fibrin clots lead to microvascular hypoperfusion, diminished oxygen delivery and tissue necrosis
What is part of the body's response in sepsis?
400

Bundle of Care begins 

What is TIME ZERO?

500
Burns, trauma, pancreatitis
What are SIRS with no evidence of infection?
500

hemodynamic changes in sepsis

What is decreased CVP, CO, PAWP, PVR, SVR?

500
Increases mortality from septic shock by 7%
What is each hour delay in giving antibiotics?
500

Lactate >4

What is an indication of severe sepsis requiring bundle treatment?

500

The patient is hypotensive or lactate >4mg/dL

What is administer 30mL/kg of crystalloid fluid

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