Sepsis

Identification

100

Infection plus 2 or more:

Temp <96.8 or >100.8

HR>90; RR >20

WBC <4k or >12k 

What is Sepsis

200

Sepsis plus 1 organ dysfunction variable

SBP<90; MAP <65; Lactic >2.0

Creatinine <2; Bili >2; platelets <100k

What is Severe Sepsis

300

Severe Sepsis plus 1 shock criteria

Lactic >4

2 SBP <90 or Map <65 in 1 hour after fluids

Septic Shock

400

Pneumonia + T 101.4; HR 99; Lactic 3.0

Severe Sepsis

500

UTI + T 101.4; WBC 15k; Lactic 4.2

Septic Shock

What do I do?

100

When do you screen for sepsis

On admission, every 8hrs (ICU Q4H), change in condition

200

Blood Culture BEFORE...

Antibiotics

300

How much is a sepsis bolus?

30cc/kg

400

Fluids must be ended by nursing in what time frame?

3 hours from sepsis diagnosis time

500

A patient is in Septic Shock, received a fluid bolus and vasopressors are running, what must the provider do within 3 hours?

Perform and document a sepsis exam

Nursing can help them remember