NEWS2

Question 1

news is a track and trigger system to score a patients physiological measurements, give some settings it can be used in

Answer 1

acute setting
ambulance service
GP…

Question 2

What are the 6 parameters measured in NEWS2?

Answer 2

RR
oxygen sat
systolic bp
pulse
consciousness or new onset confusion
temp

Question 3

what is news2 used in clinical practice to determine

Answer 3

urgency of clinical response and recommended clinical competency of responder

Question 4

if a news aggregate score is 0-4 what is the clinical risk and colour

Answer 4

low grey

Question 5

if a news score is red and has a score of 3 in any individual parameter what is the clinical risk and colour

Answer 5

low medium yellow

Question 6

who would respond to a low clinical risk

Answer 6

ward based response

Question 7

what response would be associated with a low medium score

Answer 7

urgent ward based response

Question 8

what clinical risk and colour would be an aggregate score of 5-6

Answer 8

medium orange

Question 9

what response would a score of 5-6 get

Answer 9

key threshold for urgent response

Question 10

what is the clinical risk and colour of an aggregate score of 7 or more

Answer 10

high red

Question 11

what would be the response to a high clinical risk

Answer 11

urgent or emergency response

Question 12

// sepsis

what is sepsis

Answer 12

px own inflamm response to infection is dysregulated and causes organ damage

Question 13

for sepsis to be present, there must be an infection, true or false?

Answer 13

true

Question 14

what score on NEWS-2 would indicate that a patient needs to be assessed for the red flag signs of sepsis

Answer 14

5

Question 15

why is it difficult to spot sepsis in children

Answer 15

they often stay alert and tachycardia and fever are mistaken for colds

Question 16

sepsis does not result from common infections, true or false?

Answer 16

false

Question 17

what is the most common infection that leads to sepsis

Answer 17

pneumonia

Question 18

should NEWS-2 be used in children under 16 and pregnancy

Answer 18

no

Question 19

what is septic shock

Answer 19

persisting hypotension and serum lactate over or equal to 2

Question 20

what is cryptic shock

Answer 20

high lactate but normal BP

Question 21

what should you be aware of when assessing someone for sepsis and they are on a BB

Answer 21

masks tachycardia

Question 22

signs of paediatric sepsis

Answer 22

low urine output, irritable, vomiting, rashes, convulsions

Question 23

neutropenic sespsi causes

Answer 23

recent chemo, sepsis itself destroying neutrophils

Question 24

how many sets of blood cultures should be sent for sepsis?

Answer 24

2

Question 25

if the antimicrobial is for sepsis, should the prescription state that?

Answer 25

yes

Question 26

if someone has a low eGFR and they are diagnosed with sepsis, should the first dose take into account renal function

Answer 26

no - give full first dose then subsequent doses can be adjusted

Question 27

what should be considered when prescribing antimicrobials

Answer 27

recent travel, allergies, recent hospital admission, resistance and sensitivities

Question 28

when does a patient who has had sepsis 6 initiated need to be reviewed

Answer 28

at 1 hr

Question 29

FOCUS in sepsis

Answer 29

after 48-72 hours, is there still an infection, is the antibiotic effective against that organism, can the route be switched

Question 30

what is an important organ that needs to be monitored throughout sepsis treatment

Answer 30

kidneys - as sepsis resolves the kidney function may increase so doses need to be adjusted to ensure therapeutic dosing