Early signs
An early vital sign change seen in sepsis where the heart rate increases.
What is tachycardia?
What is sepsis?
The provider prescribes antibiotics immediately. The nurse knows this must be done FIRST before administration?
What are blood cultures before antibiotics?
A post-op patient has developed an infection, HR 108, and RR 22 but normal BP. The nurse recognizes these findings as early indicators of this condition.
What is sepsis?
Sepsis where the urinary tract is the primary source of infection.
What is urosepsis?
A nurse notes a lactate of 3.8 mmol/L, HR 98, RR 26, and urinary tract infection. These finding require these immediate nursing actions.
What is alerting physician, blood cultures X2, antibiotics within 1 hr ordered, and fluid resuscitation bolus?
SIRS criteria.
What is T <36C or >38C, HR >90, RR >20/min or PaCO2 <32mmHg, WBC <4k or >12k or >10% bands?
This system is primarily affected first in many sepsis cases like pneumonia.
What is respiratory system?
A patient weighing 70kg with sepsis requires fluid resuscitation. This approximate amount should be administered.
What is 2,100 mL of IV fluids? (30 mL/kg)
A patient without diabetes develops a blood glucose of 190 mg/dL during an infection. This finding is an early sign of this systemic response.
What is stress-induced hyperglycemia?
This occurs when sepsis leads to dangerously low blood pressure despite fluid resuscitation.
A septic patient's BP remains low despite fluid resuscitation. This medication class should be anticipated next.
What are vasopressors?