Many Faces of Sepsis
Sepsis induced hypotension despite adequate fluid resuscitation
What is Septic Shock
The volume of crystalloid fluid resuscitation
What is 30ml/kg
Administered within 3 hours of identifying severe sepsis or septic shock
What is a Broad Spectrum antibiotic (IVF for initial hypotension)
Occurs every 3.5 seconds
The rate at which 1 person dies from sepsis
What is Lactic Acid
Bacteria in the blood stream
What is Bacteremia
Labs required for the sepsis metric
What are Lactic Acid and Blood Cultures
Zosyn, Levaquin, and Ceftriaxone
What are examples of broad spectrum antibitoics
The percentage of U.S. adults that have never heard of sepsis
What is more than 40%
sepsis, severe sepsis, and septic shock
What are the phases of sepsis
The most common cause of sepsis
What is Pneumonia
The time frame in which the initial elements of the bundle must be completed
What is 3 hours (or 1 Hour)
Vancomycin, Azithromycin, and Clindamycin
What are examples of Duo Therapy antibiotics (non-broad spectrum antibiotics)
True/False: Mortality from sepsis increases by as much as 8% for every hour that treatment is delayed.
What is True
New need for invasive or non-invasive ventilation
What is respiratory failure (organ dysfunction)
DOUBLE JEOPARDY!!! Organ dysfunction + 2 SIRS + suspected infection
What is Severe Sepsis
A condition which requires vasopressors to treat after IV fluids were ineffective.
What is persistent hypotension (also septic shock)
Must be completed prior to administering antibiotics.
What is drawing blood cultures
Cause of 261,000 maternal deaths annually
What is sepsis
DOUBLE JEOPARDY!!! What are the two quality initiatives for CommonSpirit Health this year
Sepsis metric and Hospital Acquired C-diff
HR > 90, RR >20, WBC > 12, T > 38.4
What are SIRS criteria
Lactic acid >4 or persistent hypotension
What are the criteria for septic shock
Should be completed after resolution of septic shock or when specific organisms are isolated in culture results
What is de-escalating antibiotic therapy
Sepsis survivors are 42% more likely to do this.
What is commit suicide
A commonly overlooked (or normalized) sign of organ dysfunction at Sierra Nevada Memorial Hospital
What is hypotension (Systolic <90 or MAP <65)