Recognition
SIRS criteria in the scenario
What is HR, temperature, and respiratory rate?
This lab needs to be transported on ICE
What is lactate?
Blood cultures must be drawn in__________ minutes
What is 30 minutes?
Patient weighs 70kg. Calculate total fluid bolus
What is 2100 ml?
4th SIRS criteria not listed in the scenario.
What is WBC >12K or less than 4K or Bands >10%
A lactate of greater than ________would indicate severe sepsis.
What is lactate greater than 2?
Antibiotics must be ordered within _______ hr
What is 1 hour?
C A L F for sepsis
(Expand the abbreviation)
What are Cultures, Antibiotics, Lactate, and Fluids?
Define severe sepsis.
What is infection + 2 SIRS + End Organ Dysfunction
Lactate of greater than 4.5
what is septic shock?
Fluids must be administered within ----------- hr
What is 3 hours?
The patient did not respond to the fluid bolus. My next action is...
What are vasopressors?
Define Septic Shock
What is severe sepsis + persistent hypotension s/p fluids or lactate >4?
Labs ordered for questionable sepsis.
What is blood culture, lactate, CBC, BMP and trop?
Initial lactate resulted >2!
Repeat lactate is in -----hours
What is 3 hours?
The fluid bolus is completed. I will check________
What is the assessment for Volume status and Tissue perfusion?
Vital signs, cardiopulmonary exam, capillary refill, peripheral pulse evaluation, skin exam or check CVP, bedside cardiovascular exam.
Define end organ Criteria
What is Creatinine >2, Bilirubin >2, Lactate >2, platelet count < 100K, new onset altered mental status, increased O2 demand to maintain Sat 90%, urine output <0.5ml/kg/hr. for 2-plus hours
This lab needs to be drawn before administering antibiotic.
What is blood culture?
Fluids are initiated for inpatient sepsis within -----------hour
What is 1 hour?
Failed sepsis bundle
(Patient Outcome)
What is mortality?