Infectious Diseases - Sepsis

Question 1

When giving fluids for sepsis (in absence of PET/renal disease), what treatments should be given?

Answer 1

Aim SBP >90 or MAP >65mmHg
UO >0/5mls/kg/hr
CVP 8-12mmHg

Question 2

1st line Abx for women who is septic not critically unwell and unknown source?

Answer 2

Co-amox + Met
or
Cef + met

Question 3

Sepsis Tx if Group A Strep suspected?

Answer 3

Clindamycin

Question 4

Sepsis and risk for MRSA

Answer 4

Teicoplanin or linezoolid

Question 5

Abx for postpartum endometritis

Answer 5

Clindmycin + Gent

Question 6

Sepsis bundle

Answer 6

Blood culture
Urine output
Fluids
Antibiotics within 1 hour
Lactate
Oxygen >94%

Question 7

When to consider vasopressors

Answer 7

If fluids do not maintain MAP >65 or if lactate >4

Question 8

Commenst cause of postpartum sepsis

Answer 8

Endometritis

Question 9

If septic which analgesia should you avoid?

Answer 9

NSAIDs - effect renal function, coagulation

Question 10

Abx for severe sepsis

Answer 10

Tazocin + Genty
or
meropenem + gent
+/e metronidazole