Sepsis

Question 1

clinical manifestation for sepsis

Answer 1

symptoms of infection (e.g. productive cough, vomiting, diarrhoea, dysuria)

Drowsiness ! (AVPU)
Confusion ! (AVPU)
Dizziness

non blanching rash !
Mottled, ashen !
Oliguria !

Tachycardia > 130 !
Hypotension 25 !
Cyanosis
Fever/hypothermia (<36 , >38)

RED FALGS = !
if more than one

Question 2

diagnosis of sepsis

Answer 2

C: variable findings
Leukocytosis or leukopenia
Thrombocytosis or thrombocytopenia
CRP, procalcitonin:

o blood cultures, consider additional cultures guided by clinical judgment (see “Etiology”).
Urinalysis and urine culture (See “Urinary tract infection” and “Pyelonephritis”)
Sputum culture
lumbar puncture and culture

Question 3

how to manage sepsis ?

Answer 3

sepsis 6

Administer high flow oxygen and maintain SpO2 >94%

Take blood cultures

Administer intravenous fluids

Measure serial lactate levels
≥2 mmol/l
assess for evidence of reduced end-organ perfusion

Administer intravenous antibiotics
broad-spectrum IV antibiotics should be administered as soon as possible (ideally within 1 hour of presentation)
using trust local guidelines
(piperacillin/tazobactum)

Monitor urine output with urinary catheterisation

========

DO SEPTIC SCREEN
- chest X ry
- urine dipstick
= blood , urine , sputum and stool culture
swabs taken from lily sources - such as world , throat , canola , catheter , drain site

Serum glucose level

ECG should be performed