2017 somanz sepsis Flashcards
1
Q
Sepsis
A
Life-threatening organ dysfunction caused by dysregulated host response to infection
2
Q
Most common organism
A
Group A strep
-25% of maternal deaths from sepsis
3
Q
What is the fetus in sepsis ?
A
Marker of end organ perfusion/”organ perfusion monitor”, placenta not auto-regulated, any maternal circulatory insufficiency may compromise fetal perfusion
4
Q
What is omSOFA
A
Obstetrically modified Sequential/Sepsis Organ Failure Assessment
SBP >90
RR >25
not alert = score of 3
5
Q
What are the priorities in management of sepsis in pregnancy
A
Recognize - qSOFA
Resuscitate - ABC, cultures, fluid, ICU
Respond - abx within 60m
Reassess - woman and fetus
