What is Sepsis?
Sepsis is a life-threatening medical emergency caused by your body's extreme, overactive response to an infection.
It requires immediate medical attention; every hour without treatment increases the risk of organ damage or death.
What blood test should be drawn before administering antibiotics in the Sepsis protocol?
Blood cultures
What are the 2 recommended Sepsis IV solutions?
Lactated Ringers and Normal Saline
True or False
A Lactic Acid specimen should be placed in ice after collection.
True
What is Sepsis?
Sepsis is a life-threatening medical emergency caused by your body's extreme, overactive response to an infection.
It requires immediate medical attention; every hour without treatment increases the risk of organ damage or death.
What are 2 possible signs and symptoms of sepsis?
T - Temperature higher or lower than normal
I - Infection
M - Mental changes -confusion, sleepy
E - Extreme pain, discomfort, short of breath
Should antibiotics or a fluid bolus be given 1st when septic shock is present?
Antibiotics
What is the recommended amount/rate for sepsis bolus fluids to be administered?
30 ml/kg/hr
True or False
Can a lactic acid specimen tube and blood culture bottles be transported to the Lab via the tube system?
Yes
What are signs and symptoms of possible sepsis?
T - Temperature higher or lower than normal
I - Infection
M - Mental changes -confusion, sleepy
E - Extreme pain, discomfort, short of breath
How can you prevent Sepsis?
Good hygiene, Handwashing, vaccines, early medical help - MD/Urgent Care/ER
What should be checked on the patient prior to giving medications?
Patient ID and allergies
What are 2 indications that require a Sepsis Fluid Bolus?
Initial hypotension: 2 BPs systolic under 90 or Septic Shock
How many mls of blood is required to fill a blood culture bottle?
8-10 mls
Everybody can get Sepsis - Name 2 groups of people at higher risk to get Sepsis.
What are 2 signs and symptoms of a possible infection?
fever, chills, fatigue, muscle aches, and headache, confusion Other indicators include cough, shortness of breath, sore throat, vomiting, diarrhea, and localized signs like swelling, redness, or pus.
What is the ideal time frame to administer antibiotics when Sepsis is suspected/known?
Best practice is within 1 hr of suspected/known sepsis
What sepsis fluid should NOT be administered together with piperacillin (Zosyn)?
Lactated Ringers
Which blood culture tube should be drawn 1st? Aerobic or anaerobic?
Aerobic - reason air may be in the collection set. Remember: E before N Aerobic Anaerobic
Name 2 of the 4 SIRS criteria.
Temp >100.9 or < 96.8
HR rate > 90
RR >20
WBC > 12,000 or <4,000
Everybody can get Sepsis - Name 2 groups of people at higher risk to get Sepsis.
Which order set lists the common antibiotics ordered for Sepsis?
Sepsis order set
When should the patient's BP be checked after the sepsis fluid bolus is administered?
2 BPs should be documented within 60 minutes after completion of the fluids bolus
When is a repeat lactic acid blood test required to be drawn?
If the initial lactic acid is over 2.0, the repeat lactic acid should be drawn within 6 hrs after Severe Sepsis Presentation
Name 2 common sources of Sepsis in your body.
Skin/soft tissue infections
Urinary tract infections
Pneumonia infections
Abdominal infections
Blood infections
Brain infections