Sepsis Flashcards

1
Q

How is sepsis managed?

A

Sepsis 6

Test

  • lactate
  • urine output
  • blood cultures -> send for bacteriology

Treatments

  • O2
  • broad spectrum ABs - co-amoxiclav in pregnancy
  • IV fluids
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2
Q

What does co-amoxiclav not cover?

A

MRSA

Psuedomonas

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3
Q

What antibiotics are used for septic shock?

A

Tazocin
Clindamycin
Gentamicin

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4
Q

What sign can lead you towards infection when invx vaginal discharge/blood loss?

A

Offensive smell

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5
Q

What is number one risk factor for sepsis and development of chorioamnioitits (infection of placenta and amniotic fluid)?

A

Prolonged rupture of membranes - allows infection to pass from vagina into uterus

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6
Q

What strep is found in 20-40% of mothers vaginas?
What can it lead to?
Is it routinely tested for?

Under what circumstances are mothers given prophalyatic ABs antenataly?

A

Strep B (group B strep = GBS)
Neonatal sepsis v rarely
No because it rarely leads to it

Previous kid was affected by GBS
Was routinely found antenatally
Delivery planned <37wks

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6
Q

What strep is found in 20-40% of mothers vaginas?
What can it lead to?
Is it routinely tested for?

Under what circumstances are mothers given prophalyatic ABs antenataly?

A

Strep B (group B strep = GBS)
Neonatal sepsis v rarely
No because it rarely leads to it

Previous kid was affected by GBS
Was routinely found antenatally
Delivery planned <37wks

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