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
