Two Generals
Temperature >38 C and Respirations > 20
What are two SIRS criteria?
Known or suspected bacterial infection and 2 or more SIRS criteria
What is Sepsis?
Evidence based set of sepsis interventions
What is Sepsis Treatment Algorithm/Order Sets?
Heart rate > 90 and WBC >12,000 or >10% bands
What are two SIRS criteria?
Alcoholics, untreated GI disease, the elderly
Who is at risk for Sepsis?
Bacterial, Viral or Fungal Infection
What type of infection leads to sepsis?
Start a broad spectrum antibiotic within 3 hours
What is a treatment goal of the Sepsis Treatment Algorithm/Order Set?
CMP, Lactic Acid, Blood Cultures X 2
What are lab tests used to identify Sepsis?
Required prior to antibiotic administration
What are blood cultures x 2?
2 or more SIRS Criteria plus suspected bacterial infection
How many SIRS criteria are necessary to diagnosis Sepsis?
Fluid Resuscitation amount using LR or NS
What is 30ml/kg?
Decreased blood flow to organ tissue
What is the body's response in sepsis?
Sepsis + Organ Failure
What is severe sepsis?
Preferred IV pressor to treat persistent hypotension
What is Levophed?
Two interventions to improve survival chances
What are large amounts of IV fluids and early treatment with antibiotics?
Fibrin clots lead to microvascular hypoperfusion, diminished oxygen delivery and tissue necrosis
What is septic shock?
Lactic Acid > or =4
What is an indication of septic shock?
Broad Spectrum Antibiotics given to treat Sepsis
What are Ceftriaxone, Ceftazidime, Cefepime, Ampicillin/sulbactam, Piperacillin/tazobactam, or Levofloxin?