Two Generals
Temperature >38 C and Respirations > 20
What are two SIRS criteria?
Known or suspected bacterial infection and 2 or more SIRS criteria
What is Sepsis?
the number of deaths annually from sepsis
What is 350,000?
Evidence based set of sepsis interventions
What is Sepsis Treatment Algorithm/Order Sets?
General body pain and WBC less than 4,000
What are two SIRS criteria?
Alcoholics, untreated GI disease, the elderly
Who is at risk for Sepsis?
Leading cause of death in U.S Hospital
What is Sepsis?
Bacterial, Viral or Fungal Infection
What type of infection leads to sepsis?
Start a broad spectrum antibiotic within 3 hours
What is a treatment goal of the Sepsis Treatment Algorithm/Order Set?
CMP, Lactic Acid, Blood Cultures X 2
What are lab tests used to identify Sepsis?
Required prior to antibiotic administration
What are blood cultures x 2?
people diagnosed with sepsis yearly
What is more than 1.5 million people?
2 or more SIRS Criteria plus suspected bacterial infection
How many SIRS criteria are necessary to diagnosis Sepsis?
Fluid Resuscitation amount using LR or NS
What is 30ml/kg?
The body's response in sepsis
What is Decreased blood flow to organ tissue?
Culver city sepsis bundle compliance percentage and Hollywood Sepsis bundle compliance percentage
What is 39% and 30%?
Sepsis + Organ Failure
What is severe sepsis?
Preferred IV pressor to treat persistent hypotension
What is Levophed?
Two criteria to improve survival chances
What are large amounts of IV fluids and early treatment with antibiotics?
Fibrin clots lead to microvascular hypoperfusion, diminished oxygen delivery and tissue necrosis
What is septic shock?
Increases mortality from septic shock by 8%
What is each hour delay in giving antibiotics?
Lactic Acid > or =4
What is an indication of septic shock?
Broad Spectrum Antibiotics given to treat Sepsis
What are Ceftriaxone, Ceftazidime, Cefepime, Ampicillin/sulbactam, Piperacillin/tazobactam, or Levofloxin?