NEWS2 Flashcards
news is a track and trigger system to score a patients physiological measurements, give some settings it can be used in
acute setting
ambulance service
GP…
What are the 6 parameters measured in NEWS2?
RR
oxygen sat
systolic bp
pulse
consciousness or new onset confusion
temp
what is news2 used in clinical practice to determine
urgency of clinical response and recommended clinical competency of responder
if a news aggregate score is 0-4 what is the clinical risk and colour
low grey
if a news score is red and has a score of 3 in any individual parameter what is the clinical risk and colour
low medium yellow
who would respond to a low clinical risk
ward based response
what response would be associated with a low medium score
urgent ward based response
what clinical risk and colour would be an aggregate score of 5-6
medium orange
what response would a score of 5-6 get
key threshold for urgent response
what is the clinical risk and colour of an aggregate score of 7 or more
high red
what would be the response to a high clinical risk
urgent or emergency response
// sepsis
what is sepsis
px own inflamm response to infection is dysregulated and causes organ damage
for sepsis to be present, there must be an infection, true or false?
true
what score on NEWS-2 would indicate that a patient needs to be assessed for the red flag signs of sepsis
5
why is it difficult to spot sepsis in children
they often stay alert and tachycardia and fever are mistaken for colds
sepsis does not result from common infections, true or false?
false
what is the most common infection that leads to sepsis
pneumonia
should NEWS-2 be used in children under 16 and pregnancy
no
what is septic shock
persisting hypotension and serum lactate over or equal to 2
what is cryptic shock
high lactate but normal BP
what should you be aware of when assessing someone for sepsis and they are on a BB
masks tachycardia
signs of paediatric sepsis
low urine output, irritable, vomiting, rashes, convulsions
neutropenic sespsi causes
recent chemo, sepsis itself destroying neutrophils
how many sets of blood cultures should be sent for sepsis?
2
if the antimicrobial is for sepsis, should the prescription state that?
yes
if someone has a low eGFR and they are diagnosed with sepsis, should the first dose take into account renal function
no - give full first dose then subsequent doses can be adjusted
what should be considered when prescribing antimicrobials
recent travel, allergies, recent hospital admission, resistance and sensitivities
when does a patient who has had sepsis 6 initiated need to be reviewed
at 1 hr
FOCUS in sepsis
after 48-72 hours, is there still an infection, is the antibiotic effective against that organism, can the route be switched
what is an important organ that needs to be monitored throughout sepsis treatment
kidneys - as sepsis resolves the kidney function may increase so doses need to be adjusted to ensure therapeutic dosing
