S.I.R.S.
The "I" in SIRS stands for this type response to an infection.
What is 'inflammatory'?
These are the 3 elements that must be completed within 180 minutes from the time severe sepsis criteria is met.
What is the lactic acid, antibiotic initiated and blood cultures collected?
Anticipated order for IVF in a patient who is hypotensive with Severe Sepsis.
What is 30cc/kg of NS or LR?
The lactic acid value that indicates severe sepsis criteria is met.
What is equal to or greater than 4?
This is the criteria for Temperature.
What is less than 36c and greater than 38c?
MLH goal for administering antibiotics?
What is within 60 minutes of severe sepsis criteria met?
25yf with c/o lower abdominal pain and shuffling gait. T38.2, R22, and P125.
What is sepsis criteria?
This lab value is an indicator for inadequate tissue perfusion.
What is the lactic acid?
This often masks SIRS criteria.
What is a beta blocker?
MLH goal for the Sepsis Appropriate Care Score
What is 70%?
This is the therapeutic goal for MAP.
What is greater than 65?
This is criteria for the WBC.
What is less than 4 and greater than 12?
The time when the CMS critieria for severe sepsis is met OR the provider documents possible severe sepsis (whichever occurs first).
66yf presents with c/o shortness of breath and productive cough. History of COPD requiring 2L o2 bnc at home. BP 130/68, R20, P68, wbc 14.0, o2 sat on 2L bnc room air 88%. O2 increased to 4L bnc - o2 sat 94%.
What is severe sepsis criteria?
Bacteria in the blood stream.
What is bacteremia?
This SIRS criteria is often the first clinical indicator of Sepsis.
What is the respiratory rate?
If the initial lactic acid results greater than ____, the nurse should anticipate a repeat lactic acid within 6 hours.
What is greater than 2?
76ym presents to the ED with c/o shortness of breath and mental status change. Family states that she was diagnosed with bronchitis 2 weeks ago but had not filled antibiotics. BP108/52, R26, P62, skin cold to touch and unable to obtain a temperature reading.
What is severe sepsis?
This organ is associated with the highest sepsis mortality rates.
What are the lungs?