Dogs
The difference between SIRS-Systemic Inflammatory Response Symptoms and Sepsis
What is SIRS is the general inflammatory repones of the body to an triggering event, sepsis is specific to an infection.
what volume of fluid should you anticipate initiating with a sepsis diagnosis?
bonus for what type of fluid
2 liters (30cc/kg)
Ringers lactate
Your resources for a septic patient are.
CCOT
RT
STAT hospitalist/MRP
Colleagues
CNL/CNEs/Mentors
Symptoms of sepsis?
what is:
HR greater than 90
RR greater than 20
temp greater than or equal to 38.0 or less than or equal to 36.0 C.
WBC greater than 12 or less than 4
Altered mental status or GCS change.
What is a concerning lactate? what does this represent?
Greater than 2mmol/L
Elevated lactate levels indicate insufficient O2 delivery to tissues leading to anaerobic production.
What tool is used to clearly organize and outline your concerns/assessment to the MRP?
Bonus for: I am concerned about _____
SBAR
Sepsis
Sepsis risk factors?
what is:
previous dx of sepsis
older population (greater than 65)
younger population
chronic disease (diabetes, cancer, Kidney disease)
Immunocompromised
recent trauma/surgery
What is the goal of your MAP during a sepsis resuscitation?
MAP greater than 65mmhg.
There is a sepsis alert on Care Compass. What do you do?
review alert
Assessment patient
escalate
Bloodwork you would anticipate drawing with a potential sepsis diagnosis?
Blood cultures
lactate
CBC, 660,
Procalcitonin
Why is a low MAP (Mean Arterial Blood Pressure) concerning in a septic patient?
Low blood pressure poor perfusion of vital organs, including the brain.
MAP is a perfusion indicator.
MAP less than 60 there is a concern for organ death
Out of the 30,000 Canadians that are hospitalized each year from sepsis, what percentage of these patients that will die?
30% of these will die
How soon should you anticipate initiating antibiotics with a sepsis diagnosis?
1 hour.
what do you want to make sure you collect prior to initiating antibiotics?
Blood cultures x2 and any other swabs or culture specimens.
what are the most common causes of sepsis you might see on a med/surg acute care floor?