Path of Sepsis
The body's systemic inflammatory response to containment failure
What is sepsis?
This quick assessment includes temperature, HR and RR and was recommended to replace SOFA and qSOFA scoring
what is SIRS
one of the top three sepsis causes, it is known to cause confusion in some patient populations
What is a urinary tract infection?
this class of medication is described as “broad”
what are antibiotics
In 1990, this beloved puppeteer and creator of the Muppets tragically died of sepsis caused by a severe bacterial pneumonia.
Who is Jim Henson?
This derangement causes relative hypovolemia and loss of intravascular volume
What is Peripheral vasodilation and increased capillary membrane permeability
This lab value measures the by product of anaerobic cellular activity
What is lactate
This type of illness that often leads to sepsis is categorized as community, hospital or ventilator acquired
What is pneumonia
this medication is used to control blood sugar
What is insulin
In the TV series House, M.D., Dr. House often diagnosed rare causes of sepsis. One memorable case involved this common pet transmitting Capnocytophaga canimorsus after a bite.
What is a dog?
these two systems work together to release hormones to trigger a hyper metabolic state
what are cns and endocrine
This lab value shows pH, C02 , HC03 and oxygen amounts in oxygen rich blood
What is ABG
The use of this device is the most common cause for urosepsis?
What is a Foley catheter?
This is the first line vasopressor recommended, often referred to by the brand name “Levo”
What is norepi
In the movie Million Dollar Baby (2004), Hilary Swank’s character develops sepsis from complications of these hospital-acquired wounds.
What are pressure ulcers (bedsores)?
The result of impaired clotting mechanisms and slow clot breakdown
What is disseminated intravascular coagulation (DIC)?
This should be collected prior to antibiotic administration.
What are blood cultures?
this is the most common site for sepsis to begin
Respiratory
if norepinephrine is not effective at low-moderate doses, don’t stress, just add this medication
what is vasopressin
In 2013, this world leader was hospitalized with recurrent lung infections and sepsis, ultimately contributing to his death at age 95.
Who is Nelson Mandela?
this “powerhouse of the cell” becoming dysfunctional is thought to be an potential cause of cells not being able to use oxygen during sepsis and septic shock
What is the mitochondria
This is the goal MAP for patients being treated for sepsis
what is >65
these patients can become septic from their own gut flora
who are chemo patients
In the presence of ongoing cardiac dysfunction and hypoperfusion, this medication should be added, as it helps improve cardiac contractility
dobutamine
this 2016 film is based on the true story of Tom Ray
What is Starfish