Sepsis

Question 1

Sepsis symptoms in adults?

Answer 1

SEPSIS
S= slurred speech or confusion
E= extreme shivering or muscle pain
P= passing no urine in 18 hours
S= severe breathlessness
I= it feels like you’re going to die
S= skin mottled or discoloured

Question 2

What the sepsis 6 management plan?

Answer 2

Give 3, Take 3/BODFUL

1. Administer high flow oxygen (to keep sats >94%, 88-92% if have COPD)
2. Take blood culture
3. Give IV antibiotics
4. Give IV fluids
5. Check serum lactate and HB (ensure HB OVER 7g/DL)
6. Measure urine output

Aim to complete in first hour.

Question 3

What is the early management of Sepsis?

Answer 3

Take a culture/sample before initiating antibiotics

Broad spectrum antibiotic at max. recommended dose ASAP (ideally within one hour)

Clinical examinination to identify source of infection - change antibiotics as appropriate

Assess need for IV fluids, inotropes, vasopressors and oxygen - consider lactate conc., systolic BP and risk of severe illness/death

Question 4

What’s typically used to treat sepsis?

Answer 4

Tazobactam STAT
and gentamicin

Question 5

How often should high risk patients be monitored?

Answer 5

Continuously if possible

At least every 30 minutes

Question 6

Impact of sepsis

Answer 6

https://www.youtube.com/watch?v=xW3oj6tZaLM