Sepsis Flashcards
what scores/criteria are used in sepsis for…
- severity
- diagnoses
- qSOFA (sepsis organ failure assessment)
- SIRS criteria
what are the critieria for qSOFA
RASP
RR >22
Altered mental state
Systolic blood Pressure <100
how do you check for sepsis
monitor the bloody NEWS charts eh
what are the SIRS criteria for diagnosing sepsis
Need at least 2 of
HR >90
RR >22
Temp: <36 or >38
WCC: high or low
Reduced GCS
BG >6.6
what odd blood thing can be raised in sepsis
BG >6.6
what is raised in blood that is a good sign of end organ damage and mortality
why is it
Lactate
Produced during periods of anaerobic energy production
by how much is mortality increased by every hour for unrecongised/untreated sepsis
7%
whats the approach to treating sepsis
Step-down approach
Easiser to de-escalate than to escalate
what are the signs of septic shock
BP <65
Lactate >2
Hypoperfusion depsite fluid resus
what is sepsis
SIRS due to an infection
causing organ dysfunction
SIRS= systemic inflammatory response syndrome
what bodily changes does SIRS cause
Vasodilatoin
Oedema
Capillary leakage
Cytokine release
what are the main bacteira that cause sepsis
Staph a
strep pyogenes
strep penumoniae
e.coli
can be bloody anything mate
how long should sepsis 6 take
1 hour
how is sepsis managed
SEPSIS 6
Give 3
Abxs
Oxygen
IV fluids
take 3
Blood cultures
Lactate
Urine output
what antibitotitcs will you initlaly give for sepsis
something broad spectrum
wait for cultures to return to decide the best abx
what do you need to do to get a lactate sample
ABG
how do you measure urine output
fire in a cathater
for sepsis, how many blood cultures do you have to do every 24hours
2
