Screening
Pneumonia, Endocarditis, and UTI are all examples of ...
What are infections?
This is the amount of time you should scrub the skin prior to drawing blood cultures
What is 30 seconds?
This is the maximum amount of time an antibiotic can be delayed.
What is 1 hour?
These drugs can be added if a patient's MAP does not maintain > 65 or SBP < 90
What are vasopressors?
Hypo-perfusion during shock deprives the cells of this element
What is oxygen?
Immunosuppression, malignancy, extremes of age, and chronic health conditions are all examples of this
What are risk factors?
SIRS criteria must include how many of the following symptoms: hyperthermia, hypothermia, tachypnea, tachycardia, leukocytosis, or leukopenia
What is two?
These must be collected prior to the administration of antibiotics
What are two sets of blood cultures?
This culture can be obtained if a UTI is suspected
What is a urine culture?
When must the lactate be repeated if the initial value was > 2 mmol/L
What is 2 hours?
Early goal-directed therapy is key to reversing shock with IV fluids and these medications
What are broad spectrum antibiotics?
Altered mental status, oliguria, thrombocytopenia, and elevated creatinine are all signs of this
What is organ dysfunction?
This is present when SBP < 90 or MAP < 65, creatinine > 2.0, and lactate level > 2.0
What is organ dysfunction?
This is the preferred site for the collection of blood cultures
What is a peripheral stick?
This lab value of > 4.0 requires the administration of a normal saline bolus of 30 mL/kg
What is lactate?
This vasopressor is the first line treatment for a MAP < 65
What is norepinephrine?
Septic shock causes this problem leading to hypotension and loss of peripheral vascular tone
What is vasodilation?
The higher this lab level is the less likely the patient is to survive sepsis
What is lactate?
A positive screen for severe sepsis includes infection, organ dysfunction, and evidence with 2 criteria of this process
What is SIRS?
This is the type of cleaning device used to cleanse the skin prior to sticking the patient
What is chlorhexidine?
This IV fluid is the preferred method to deliver 30 mL/KG bolus for a MAP < 65 or a Lactic Acid >4
What are crystalloids?
This type of invasive line should be placed if a patient is started on vasopressors
What is an arterial line or central line?
There are 4 types of shock: Cardiogenic, hypovolemic, distributive, and ...
What is obstructive?
Prevention of these infections will help to prevent sepsis
What are hospital acquired infections?
This many organs must be affected to be classified as severe sepsis.
What is one?
This bottle should be collected first when collecting a set of blood cultures
What is aerobic?
This is the best method for giving your fluid bolus to a hypotensive septic patient
What is a pressure bag?
Volume status recheck must be completed by this type of hospital employee
Who is a MD/APN/PA?
Septic shock would fall into this category of shock
What is distributive?
This is used to identify patients at risk of having sepsis
What is the sepsis screening tool?