Many Faces of Sepsis
Vital Signs BP 110/88 HR 104 T 101.3 RR 24 + WBC 13.5
What is SIRS criteria
Done prior to antibiotics
What is blood cultures
Tachycardia, tachypnea, febrile, hypothermic, slow cap. refill
Body's overwhelming response to an initial infection
What is Sepsis
Important to draw blood cultures prior to antibiotics
What is to know what we are treating (having patient on right antibiotic)
Frequency of Blood Pressure monitoring during initial sepsis resuscitation phase
What is 15 minutes
Septic Shock equals
What is high mortality, >40%
Children, elderly, maternal, immunocompromised, trauma, burns, chronic pre-existing conditions
What is people more at risk for developing sepsis
Delaying administration of antibiotics
What is increasing the mortality by at least 8%
Vasodilation, capillary leaking, increased blood clotting causing the blood pressure to decrease and the swelling to increase
What is Severe Sepsis
Sepsis + organ dysfunction + infection
What is Severe Sepsis
NS or LR 30ml/kg
What is initial fluid resuscitation
Increased Cardiac Output, Decreased Vascular resistance, bounding pulses and Wide pulse pressure
What is Warm Shock
Lab indicator for inadequate tissue perfusion
What is Lactic Acid
Sepsis induced hypotension despite adequate fluid resuscitation
What is Septic Shock
Treatment for SBP < 90 and/or MAP <65 after fluid bolus
What is Vasopressors
Cardiac dysfunction of severe sepsis
What is impaired contractility, diastolic dysfunction, reduced EF and cardiac index
Prevented with early recognition and rapid treatment
What is 80% of ALL sepsis deaths