CLASP Sepsis Week Flashcards
Can a patient present with septic shock; True or False?
FALSE; septic shock can only occur after attempted resuscitation
What is sepsis?
life-threatening organ dysfunction caused by a dysregulated host response to infection
What organism is gram positive cocci in clusters with a positive coagulate test?
Staphlococcus Aureus
What organism is gram positive cocci in clusters with a negative coagulate test?
Staphlococccus epidermidis
What is alpha haemolysis?
Partial with a green colour
What is beta haemoysis?
Full with a yellow/no colour
What is gamma haemolysis?
No breakdown
What is a complication of E.coli 0157?
Haemolytic uraemic syndrome (NO ANTIBIOTICS AS THEY CAN PRECIPITATE THIS)
What is Vancomycin used for?
Gram +ve
What is metronidazole used for?
Anerobes
What is gentamicin used for?
Gram -ve
How many blood cultures do you need to confirm endocarditis?
3 sets (6 bottles)
What is the sepsis 6?
Take Blood & all appropriate cultures, lactate, measure urine output, Give IV fluids, Oxygen & IV antibiotics
What is CURB65?
Confusion (new onset), urea >7, Resp Rate (>30/min), Blood pressure (systolic <90, diastolic<60), age >65
Describe the gram characteristics of Haemophilus influenza?
Gram negative cocci
What antibiotics are active against Haem influ?
amoxicillin & doxycycline
In addition to blood & sputum what other culture might you do for someone with atypical pneumonia?
Urine for legionella antigens
What are the 4 C antibiotics?
Co-Amoxiclav, Cephalosporins, Clindamycin, Ciprofloxacin
Alpha haemolytic aerobic gram +ve cocci in chains
Strep. Pneumoniae, Strep. Viridans
Beta haemolytic aerobic gram +ve cocci in chains
GAS (Strep. pyogenes), Group B strep
Gamma Haemolytic gram +ve cocci in chains
Enterococcus sp.
