OS - sepsis

Question 1

what is sepsis?

Answer 1

an extreme body response to infection.
life-threatening medical emergency.
a pre-existing infection initiates a systemic sequence of events.

Question 2

what gender is sepsis more common in and why?

Answer 2

males
females have a degree of hormonal response

Question 3

what age is more at risk of sepsis?

Answer 3

over 75 years

Question 4

what are some risk factors for sepsis?

Answer 4

surgery
broken skin
HIV/AIDS
cirrhosis
autoimmune disease
organ transplant
inflammatory disorders

Question 5

what sites are at risk of sepsis?

Answer 5

lungs (64%)
abdomen (20%)
bloodstream (15%)
renal or genitourinary tract (14%)

Question 6

what microbes are found in sepsis incidents?

Answer 6

47% gram positive 20% being s aureus
62% gram negative 20% being pseudomonas spp and 16% E coli
19% fungal

Question 7

how do you recognise sepsis?

Answer 7

any patient presenting with a source of infection and 2 or more:
1. temp >38 or <36
2. HR >90 (high risk >130/min)
3. resp rate >20 (high risk >25)
4. WCC >12 or <4
5. BP systolic <100

Question 8

what are sepsis red flags?

Answer 8

altered mental state/ confusion
unable to stand/ collapse
unable to catch breath/ speak
fast breathing
skin pale, mottles, ashen or blue
rash wont fade
recent chemotherapy
oliguria

Question 9

what is the SEPSIS pnuemonic?

Answer 9

slurred speech
extreme shivering
passed no urine in a day
severe breathlessness
illness so bad feel theyre dying
skin mottles/ discoloured/ ashen

Question 10

how do you manage sepsis?

Answer 10

1. give 02
2. take blood cultures
3. give IV antibiotics
4. give a fluid challenge
5. measure lactate
6. measure urine output

Question 11

what is the BUFALO pnuemonic?

Answer 11

blood cultures
urine output
fluid resuscitation
antibiotics IV
lactate measurement
oxygen