Complications - sepsis

Question 1

What is sepsis?

Answer 1

extreme body response to infection
life threatening medical emergency

Question 1

why is sepsis important

Answer 1

failure to recognise or implement appropriate tx can result in rapid progression leading to tissue damage, organ failure and death

Question 2

most common sites

Answer 2

lungs (64%)
abdomen (20%)
bloodstream (15%)

Question 3

sepsis risk assessment - high risk

Answer 3

1. temp (under 36 or over 38)
2. HR - over 90
3. resp rate - over 20
4. WCC over 12 or under 4(x10(12))
5. BP systolic less than 100

Question 4

sepsis red flag

Answer 4

altered mental state/confusion
unable to stand
unable to catch 1 breath
fast breathing
skin pale
rash won’t dafe
recent chemotherapy
oliguria

Question 5

Amber flag

Answer 5

behaviour change
immunocsuppressed
trauma/surgery in last 8 weeks
breathing harder than normal
reduced uirne output
temp below 36
wound infection
no unrine in 12-18 hours

Question 6

call 999 if any of?

Answer 6

Slurred speech or confusion
Extreme shivering or muscle pain
Passing no urine
Severe breathlessness
I feel I might die
Skin mottle, ashen blue or very pale

Question 7

What are the sepsis six

Answer 7

BUFALO
1. give O2
2. take blood culutre
3. give IV fluids
4. give a fluid challenge
5. measure lactate
6. measure urine output