Pathophysiology
The body's overactive and toxic response to an infection.
What is sepsis?
The first intervention to treat hypotension in a patient with sepsis
What is starting 30mL/kg of intravenous crystalloid
This many people are affected by sepsis globally each year?
An infection more frequently in women that may also cause confusion along with urinary tract symptoms.
What is a urinary tract infection?
This national campaign provides guidelines and educational tools to help hospitals reduce mortality from sepsis through evidence-based "bundles."
What is the Surviving Sepsis Campaign?
In 1990, this beloved puppeteer and creator of the Muppets tragically died of sepsis caused by a severe bacterial pneumonia.
Who is Jim Henson?
Name 3 examples of SIRS (Per CMS criteria)
A lab indicator for inadequate tissue perfusion
What is lactate?
This is the mortality rate of sepsis
30-50%
3 sites that are common sources for sepsis.
What is lungs, bladder, skin, lines, drains and tubes ?
Name at least 2 orders included in the Medical Directive
What is cbc, chem 6, lactate, blood cultures
In the TV series House, M.D., Dr. House often diagnosed rare causes of sepsis. One memorable case involved this common pet transmitting Capnocytophaga canimorsus after a bite.
What is a dog?
Sepsis with end organ dysfunction
What is septic shock
This is the target MAP for a patient with sepsis
65
The risk for mortality increases by this percentage with every hour that treatment is delayed
4%
The use of this device is the most common cause for urosepsis?
What is a Foley catheter?
According to this group, use of the sepsis bundle decreased relative risk of mortality by 20%
Surviving Sepsis Campaign
In the movie Million Dollar Baby (2004), Hilary Swank’s character develops sepsis from complications of these hospital-acquired wounds.
What are pressure ulcers (bedsores)?
This imbalance of pro-coagulant and anti-coagulant pathways in sepsis can progress to widespread microvascular thrombosis and consumption of clotting factors.
What is disseminated intravascular coagulation (DIC)?
Name 3 nursing assessments that should be completed for a patient with sepsis
Ins and Outs q4h
Neuro assessments GCS q2h x 8 hours
Temperature q2h x 8
All other vitals including MAP q15 during resuscitation, then q1h until within patients baseline parameters, then q4x24
1 in this many deaths in Canada are related to sepsis
18
Name at least 2 high risk conditions or risk factors for sepsis.
60+, chemo/cancer, immunocompromised, diabetic, liver disease, kidney disease, recent surgery, invasive line, urinary catheter, current/recent hospitalization
This is the preferred sepsis monitoring score
NEWS
In 2013, this world leader was hospitalized with recurrent lung infections and sepsis, ultimately contributing to his death at age 95.
Who is Nelson Mandela?
The number one organ failure found in sepsis
What is kidney failure?
Antibiotics should be administered within this time period after sepsis recognition.
What should occur within one hour?
This percentage of Canadians have heard of sepsis.
What is 61%
To reduce the risk of Urosepsis use this medical directive.
U2-GEN Urinary Catheters - Removal of - Adults
Name 2 Resources for Sepsis
Up To Date
Initial sepsis identification and management policy
CCOT- If criteria met
Southlake Health Adult sepsis Guidelines Algorithm
Canadian Sepsis Foundation
This celebrity gossip blogger with a hotel-like name was hospitalized for 21 days with sepsis after an ulcer perforation.
Who is Perez Hilton?