Blood Cultures
Blood cultures should be collected before this is starts, but remember treatment should not be delayed
When is prior to antibiotic start time?
HR > 110
RR > 24/min
Temp >100.4 or <96.8
WBC >15 or <4% or 10% bands
What is OB SIRS criteria for 20 weeks to 3 days postpartum?
This is the recommended antibiotic to use for a maternal sepsis patient.
What is broad-spectrum antibiotics?
This lab can indicate hypoperfusion.
What is Lactate?
This is the start of the sepsis window.
What is the time of presentation?
This is the number of blood cultures that should be collected
What is two sets?
UTI, wound infections, respiratory illness, Mastitis, retained placental fragments, non-sterile procedures are all what?
What is the most common causes of Sepsis?
This is the time frame that the antibiotics must be started.
What is within 1 hour from time of sepsis presentation?
This is required procedure when drawing/sending a Lactate.
What is collect in a grey top, on ice, stat-walked to lab?
Prior to 20 weeks and after 72 hours postpartum, you use this criteria for sepsis.
What is Adult (non-OB) SIRS criteria?
The sites where blood culture should be obtained
Acronym to help remember required interventions for Sepsis?
What is CALF?
This must be given if the lactate is 4 or more or the patient has initial hypotension (SBP<90 or MAP <65)?
What is a LR fluid bolus of 30ml/kg?
This is required when the first Lactate is >2.
What is re-collect another Lactate within 2 hours?
To trigger an OB MEWS score, you must obtain this.
What is a full set of vitals?
This should be done if the patient refuses or you are having a difficult time and unable to obtain blood cultures prior to starting antibiotics.
Start antibiotics and document a nursing note timed prior to the antibiotic start time and reattempt collection once patient is stable and hydrated.
If you have 2 OB SIRS criteria met and a suspected source of infection, what should you do?
What is notify the provider and call a rapid response?
What is the required fluid type if a bolus is needed?
What is crystalloid? (NS or LR).
This lab should be drawn when collecting each set of blood cultures, labeled, and sent to lab.
What is a throw away tube, collected in a grey top?
This is often the first signs & symptoms of Sepsis and a good predictor of Sepsis outcome.
What is elevated respiratory rate?
This is the maximum window of time you should spend collecting blood cultures.
What is 45 minutes?
This abnormal vital sign does not have to be present to consider Sepsis.
What is fever?
The life-saving treatment for Sepsis is.
What are antibiotics and fluid bolus.
This could give a falsely elevated lactate level.
What is extended tourniquet time, Aspirin, Metformin, strenuous exercise, or extended labor?
This antibiotic should be started first when multiple are ordered at the same time.
What is broad spectrum antibiotic?