NEWS2
This is the purpose of the NEWS2 score.
What is to assess illness severity and risk of deterioration?
According to the SEP-1 bundle, blood cultures must be obtained before this is administered?
What are antibiotics?
This lab value is elevated in tissue hypoxia and is used to monitor perfusion in septic shock patients.
What is lactate?
This is the first step in the 3-hour bundle.
What is measure lactate level?
This should be done if a provider is unavailable and the patient is unstable.
What is initiate a rapid response?
This score threshold requires provider notification.
What is greater than 4?
This initial fluid resuscitation volume is recommended in patients with sepsis-induced hypoperfusion?
What is 30mL/kg of IV crystalloids?
Hypotension in septic shock is defined by a MAP less than this threshold.
What is 65mmHg?
This is the best practice timeframe for antibiotic administration.
What is within 1 hour of sepsis identification?
This is the role of the Sepsis Predictive Model in inpatient Epic alerts.
What is identifies high-risk patients using SIRS criteria and comorbidity data?
This is how often should NEWS2 be scored for stable patients.
What is every 8 hours?
A patient has an antibiotic initiated in the hospital for an infection prior to the presence of severe sepsis. Blood cultures are drawn once sever sepsis is identified. This is known in the CMA SEP-1 world as what?
What is an acceptable delay?
A NEWS2 score of 10 or higher should trigger this occurrence.
What is an ICU consultation?
This is the preferred vasopressor for septic shock.
What is Norepinephrine (Levophed)?
This is the significance of a lactate level ≥ 4 mmol/L in sepsis management.
What is indicating severe tissue hypoperfusion and may define septic shock?
These are the three vital signs used in calculating a NEWS2 score.
What is respiratory rate, oxygen saturation, systolic blood pressure?
SEP-1 looks at this time frame when determining if the patient meets criteria for persistent hypotension?
What is the hour following the completion of the 30mL/kg IV fluid bolus?
This should be done if initial lactate is >2?
What is re-measure lactate within 3 hours?
This is one method for assessing volume status and tissue perfusion.
What is focused exam or POCUS (e.g., cardiac echo)?
This is one reason a patient might be excluded from the sepsis protocol.
What are advanced directives that preclude protocol interventions?
A patient has RR 26, HR 125, O2 93% on 15L HF, Temp 36.7°C, BP 108/64, and confusion. What is the NEWS2 score?
What is 12?
What is the reperfusion exam or tissue perfusion assessment?
This can be used to calculate the target IV fluid volume in patients with BMA >30.
What is ideal body weight?
This documentation is required if fluid bolus is contraindicated.
What is reason and alternate volume ordered in the EHR?
These are two signs of organ dysfunction in severe sepsis?
What is altered mental status and low urine output?