Sepsis

Question 1

What priority do you transport ALL Sepsis Alerts?

Answer 1

Priority 2

Question 2

Sepsis Alert criteria? Must meet ALL

Answer 2

• Adult and NOT pregnant
• Suspected infection or documented
• At Least TWO POINTS with Max of 3
  
  • Hypotension sys less than 90 mmHg
  • AMS, GCS less than 14
  • RR greater than 22 or ETCo2 less than 25 mmHg

Question 3

Pneumonia pt with rales require fluids?

Answer 3

Yes, monitor EtCo2 and SpO2

Question 4

Sepsis alerts how many IV’s?

Answer 4

2 large bores

Question 5

Fluid replacement for Sepsis?

Answer 5

1 liter NS regardless of BP and re-assess lung sounds and BP.
- Must repeat 1x if time permits Max 2 Liters
*** Warning becareful with CHF, renal failure and CAD

Question 6

Ceftriaxone (Rocephin)?

Answer 6

Broad spectrum antibiotic Cephalosporin. Effective against Gram positive and Gram negative.

• Dosage 2 gm in 50 ml over 10 min 10 gtt set

Question 7

Gentamicin?

Answer 7

Gram negative and some gram positive.

• Dosage 80 mg IM

Question 8

Contraindications to Gentamicin and Ceftriaxone?

Answer 8

Allergies to Cephalosporins antibiotics. (Ancef, Ceclor, Keflex)
DO NOT administer to PED’s

Question 9

If pt is septic and hypotensive use?

Answer 9

Epi 1:100,000 titrate 0.1 mg (10mL) at a rate of 1 ml/min IV/O. Maintain BP greater than 90 systolic