Sepsis

Question 1

Call for Help

Answer 1

• 2222
• obstetric emergency
• SOAPS

Question 2

Airway

Answer 2

• head tilt, chin lift
• consider airway adjunct
• lie flat if unconscious

Question 3

Breathing

Answer 3

• high flow O2 10-15L via a non re-breath mask
• check for fogging
• signs of respiratory distress

Question 4

Circulation

Answer 4

• IV access 2x14g cannula
• bloods- FBC, G+S, CRP, LFT, U&Es, blood gas, cultures
• fluids (restricted)- up to 500mls crystalloid fluids
• urinary catheter- 0.5 mls/kg/hr
• obs every 3-5 mins
• fluid balance chart

Question 5

Disability

Answer 5

• AVPU
• pupil size
• drugs
• blood glucose

Question 6

Exposure

Answer 6

• observe top to toe
• consider the source
• temperature

Question 7

Immediate Care

Answer 7

• IV antibiotics- broad spectrum
• cultures- wound swab, HVS, stool sample, milk sample, MSU, sputum sample
• consider fetal distress/ retained products
• consider thromboprophylaxis

Question 8

Ongoing Care

Answer 8

• consider increased level of observation
• central/ arterial line if needed
• analgesia
• repeated bloods
• normal midwifery care
• feeding and newborn support
• neonatal observations
• document
• debrief