RRAPID: Sepsis

Question 1

Definition/Diagnosis? (5)

Answer 1

At least 2 of the following:
-	Temp <36 or >38
-	HR >90bpm
-	RR >20 breaths/min 
-	WCC <4 or >12 x10^9
Acutely altered mental state

Question 2

Response?

Answer 2

Surviving Sepsis Care Bundle:

1. Administer high flow oxygen.
2. Take blood cultures
3. Give broad spectrum antibiotics
4. Give intravenous fluid challenges
5. Measure serum lactate and haemoglobin
6. Measure accurate hourly urine output

Question 3

Red Flag signs?

Answer 3

systolic blood pressure < 90mmHg or > 40mmHg fall from baseline
mean arterial pressure < 65mmHg
lactate > 2 mmol/L