Sepsis Protocol
Early ______________ is a key to discovering that a patient is septic.
What is assessment?
Heart rate > 90 and altered level of consciousness
What are two SIRS criteria?
2 SIRS symptoms plus a probable or confirmed source of infection
What is Sepsis?
CO decreased, tissue perfusion threatened
What is the initial stage of shock?
Severe antibody-antigen reaction causes this type of distributive shock
What is anaphylatic shock?
Start an antibiotic within 1 hour
What is part of the sepsis EGDT?
Cool extremities or Skin color changes
What are some of the subjective pediatric SIRS symptoms?
Inflammatory state affecting the whole body causing a response from the body's immune system
What is SIRS?
Almost immediately, bodies homeostatic mechanisms, attempt to maintain CO, BP, and Tissue Perfusion. Mechanisms are mediated by the SNS.
What is compensatory stage?
Loss of intravascular volume
What is hypovolemic shock?
Scripted set of sepsis interventions
What is EGDT?
If this is high or low, you want to think; "could this be a sign of sepsis?"
What is temperature?
Sepsis + signs of end organ damage + SBP < 90 + Lactate > 4
What is Severe Sepsis?
Decreased tissue perfusion, lactic acidemia. Vasodilation and increased vascular permeability, decreased intravascular volume, tissue edema, and further decreased tissue perfusion. Then leads to SIRS, irreversible cell damage and cellular death, cells unable to use oxygen. Every system in the body is affected.
What is Progressive Stage?
Cardiac Pump failure
What is Cardiogenic Shock?
The first six hours from TIME ZERO
What are "The Magic Hours"?
Burns, trauma, pancreatitis
What are SIRS with no evidence of infection?
Oliguria, hypoxemia, and elevated liver enzymes
What are signs of organ failure?
Loss of sympathetic tone causes this type of distributive shock.
What is Neurogenic shock?
Microorganisms entering the body causes this type of distributive shock
What is Septic Shock?
Take cultures before starting antibiotics
What should be done prior to starting antibiotics?
If this is high or low, you want to think; "could this be a sign of sepsis?"
What is temperature?
Decreased blood flow to organ tissue
What is the body's response in sepsis?
Shock unresponsive to therapy and irreversible. As the individual organ systems die, MODS occurs and progresses to death
What is the Refractory stage?
Maldistribution of circulating blood volume
What is Distributive Shock?