Sepsis

Question 1

what is sepsis

Answer 1

extreme body response to infection

Question 2

what is SIRS

Answer 2

systemic inflammatory response syndrome

Question 3

what is SIRS

Answer 3

2 or more of:

temperature >38 or <36

heart rate >90

resp rate >20

WBC very high or very low

Question 4

what are the sepsis classifications

Answer 4

sepsis

severe sepsis

septic shock

Question 5

what is ‘sepsis’

Answer 5

SIRS + presumed/ confirmed infection

Question 6

what is ‘severe sepsis’

Answer 6

sepsis + organ dysfunction

Question 7

what are signs of organ dysfunction

Answer 7

confusion, hypoxia, oliguria and metabolic acidosis

Question 8

what is ‘septic shock’

Answer 8

severe sepsis with hypotension despite fluid resuscitation or lactate acidosis

Question 9

clinical presentation of sepsis

Answer 9

fever, sweats or chills

breathlessness

headache

nausea and vomiting

diarrhoea

Question 10

signs of sepsis on clinical examination

Answer 10

hypoxia, tachycardia, hypotension, pyrexia, tachypnoea

Question 11

investigations

Answer 11

imaging

viral PCR

urinalysis

lumbar puncture

Question 12

sepsis 6?

Answer 12

ABCDE approach

BUFALO

blood tests, urine output, give IV fluids, IV antibiotics, lactate levels, give oxygen