SIGNS & SYMPTOMS
NAME 2 EARLY SIGNS OF SEPSIS ?
FEVER AND TACHYCARDIA
WHY IS EARLY RECOGNITION CRITICAL IN SEPSIS?
BECAUSE MORTALITY INCREASES WITH EACH HOUR OF DELAY IN TREATMENT.
WHAT CAUSES THE BODY TO GO TO INTO SEPSIS?
AN EXTREME, DYSREGULATED IMMUNE RESPONSE TO INFECTION
WHAT DOES " SOURCE CONTROL" MEAN?
IDENTIFYING AND ELIMINATING THE SOURCE OF INFECTION
WHAT TYPES OF FLUIDS ARE GIVEN FIRST- LINE IN SEPSIS?
CRYSTALLOIDS- NORMAL SALINE OR LR
WHAT CHANGE IN MENTAL STATUS MAY INDICATE SEPSIS?
CONFUSION OR ALTERED MENTAL STATUS
NAME ONE SCREENING TOOL USED FOR SEPSIS?
QSOFA- QUICK SEQUENTIAL ORGAN FUNCTION ANALYSIS
OR
SIRS- SYSTEMIC INFLAMMATORY RESPONSE SYNDROME
WHICH SYSTEMS ARE MOST AFFECTED BY SEPSIS?
CIRCULATORY, RESPIRATORY, RENAL, AND NEUROLOGICAL
GIVE ONE EXAMPLE OF A SOURCE CONTROL?
DRAINING AN ABSCESS OR REMOVING AN INFECTED CATHETER
WHAT TYPES OF ANTIBIOTICS SHOULD BE STARTED INITIALLY?
BROAD SPECTRUM ANTIBIOTICS
WHAT ARE 2 LATE SIGNS OF SEPSIS?
HYPOTENSION AND MOTTLED OR COOL SKIN
WHAT VITAL SIGN CHANGES MAY TRIGGER A SEPSIS ALERT?
HR >90
RR >20
T >38*
WHAT HAPPENS TO BLOOD VESSELS DURING SEPSIS?
VASODILATION AND CAPILLARY LEAK CAUSE HYPOTENSION.
WHAT IMAGING TEST MAY BE ORDERED TO FIND THE INFECTION SOURCE?
CT SCAN OR ULTRASOUND
DELIVER LIFE-SAVING TREATMENT WITHIN 1 HOUR
WHAT LAB FINDINGS CAN SUPPORT A SEPSIS DIAGNOSIS?
ELEVATED LACTATE LEVEL OR WBC ABNORMALITY
LOW URINE OUTPUT, CONFUSION, OR HYPOTENSION
WHAT DOES "CYTOKINE STORM" MEAN?
OVERPRODUCTION OF INFLAMMATORY CHEMICALS CAUSING TISSUE DAMAGE
WHY IS SOURCE CONTROL IMPORTANT?
ONGOING INFECTION WILL PREVENT RECOVERY EVEN WITH ANTIBIOTICS
NAME ONE TASK IN THE SEPSIS 6 BUNDLE?
GIVE OXYGEN, TAKE BLOOD CULTURES, GIVE ANTIBIOTICS, START FLUIDS, CHECK LACTATE, MONITOR URINE OUTPUT
WHAT DOES A HIGH RESPIRATORY RATE INDICATE IN SEPSIS?
INCREASED METABOLIC DEMAND OR EARLY RESPIRATORY DISTRESS
WHAT ACRONYM CAN REMIND YOU OF SEPSIS SYMPTOMS?
"TIME" TEMP, INFECTION, MENTAL DECLINE, EXTREMELY ILL
WHY DOES SEPSIS OFTEN LEAD TO ORGAN FAILURE?
DECREASE PERFUSION AND OXYGEN DELIVER TO TISSUE
WHEN SHOULD SOURCE CONTROL IDEALLY OCCUR?
AS SOON AS POSSIBLE, IDEALLY WITHIN 6 HOURS OF DIAGNOSIS
WHAT NURSING INTERVENTIONS ARE CRITICAL AFTER INTERVENTIONS ARE INITIATED?
REASSESS VITALS, URINE OUTPUT, AND MENTAL STATUS REGULARLY