Signs & Symptoms
Every adult patient during primary triage
What patients should receive a sepsis screening?
SIRS
What is Systemic Inflammatory Response Syndrome?
Heart rate > 90
Temperature >100.9F or ,96.8F
Respiratory Rate > 20
WBC Count > 12,000 or < 4,000
What are two or more vital signs that meet SIRS criteria?
Should be documented twice a day
What is oral care?
Required prior to antibiotic administration
What are blood cultures x 2?
Infection (confirmed or suspected) + ≥ SIRS criteria
What is sepsis?
CMP, lactic acid, blood cultures x 2
What are lab tests used to identify sepsis?
Within one hour of identification/ diagnosis
What is the goal time for administration of antibiotics and crystalloid fluids?
Fluid resuscitation amount of crystalloid fluid
What is 30ml/ kg?
Adults 65 or older, children younger than one, people with chronic conditions, and people with weakened immune systems
What people are at increased risk for sepsis?
Sepsis + Organ Dysfunction
What is severe sepsis?
First line IV pressor for the treatment of persistent hypotension
What is Levophed (norepinephrine)?
350,000 sepsis patients
How many septic patients die in the hospital each year?
Severe sepsis + persistent hypotension after fluids (MAP<65)
or
LA ≥ 4
What is septic shock?
1.7 million Americans
How many adults develop sepsis each year?
Bacterial, viral, or fungal infections
What type of infection leads to sepsis?