Sepsis
This life threatening condition is caused by a dysregulated host of response to infection.
What is Sepsis
This change in mental status may be early sign of sepsis, especially in older adults.
What is acute confusion or altered mental status?
Blood cultures should be obtained_____antibiotics when possible.
What is before?
Broad-spectrum antibiotics should be started within____hours of sepsis recognition.
What is 1 hour?
This is the nurse's FIRST priority when sepsis is suspected.
What is early recognition and provider notification.
Failure in this step has been shown to significantly increase sepsis mortality.
What is delayed antibiotic administration.
What is the most common cause of sepsis.
What is Pneumonia.
A respiratory rate greater than____breaths per minute is a red flag for sepsis.
What is 22.
This lab marker may be elevated in bacterial infections and used to guide antibiotic therapy.
What is procalcitonin.
Initial fluid resuscitation for sepsis is _____mL/kg of crystalloid.
What is 30 mL/kg?
Strict monitoring of this output helps assess renail perfusion.
What is urinary output.
SIRS Criteria
What is: Temp > 100.9 or < 96.8 d.
Resp rate > or ≠ 20
Elevated WBC > 12,000, < 4,000 or > 10% bands
This lab value helps identify tissue hypoperfusion and guides resuscitation.
What is lactate.
An elevated lactate reflects this underlying pathophysiologic problem.
What is tissue hypoxia/impaired perfusion.
This vasopressor is first-line for septic shock.
What is norepinephrine (Levophed)?
This nursing intervention helps prevent prevent worsening hypoxia in septic patients.
What is early oxygen therapy?
This term describes sepsis with profound circulatory, cellular, and metabolic abnormalities.
What is septic shock.
This vital sign abnormality is often seen early in sepsis before hypotension occurs.
What is tachycardia.
This lab abnormality reflects kidney involvement in sepsis.
What is creatinine?
This is the targeted MAP during septic shock resuscitation.
What is 65 mmHg?
This frequent reassessment is required after fluid bolus administration.
What is vital signs and lung sounds.
Septic Shock is defined by hypotension requiring vasopressors to maintain a MAP of at least____mmHg and a lactate greater than____mmol/L despite fluids.
What is MAP greater or equal to 65 mmHg and lactate greater than 2 mmol/L.
A normal blood pressure does NOT rule out sepsis because this process can initially present with_______.
What is compensated Shock.
This diagnostic study is critical to identify the source of infection in sepsis.
What is imaging (CT, X-Ray, ultrasound) depending on suspected source.
Failure to respond to fluids and vasopressors may prompt consideration of this medication.
What is corticosteroids ( hydrocortisone)?
This nursing action helps reduce mortality in sepsis more then any single intervention.
What is early is early recognition and rapid treatment.