SEPSIS

Question 1

Symptoms of sepsis in adult

Answer 1

Slurred speech/ confusion
Extreme shivering/ muscle pain
Passing no urine in a day (dehydration)
Severe breathlessness
I feel like im gna die
Skin (mottled,pale, blue lips)

Question 2

Sepsis red flags (high risk of severe illness or death from sepsis) adults + children > 12

Answer 2

• responds only to voice or pain/unresponsive
• acute confusional state
  systolic bp < or equal to 90 (or drop more than 40 from normal)
• resp rate > or equal to 25/min
• needs o2 to keep spo2 > or equal 92%
• non-blanching rash, mottled, ashen, cyanotic
• not passed urine in last 18h/UO < 0.5ml/kg/hr
• lactate > or equal to 2mmol/L
• recent chemo

Question 3

Sepsis red flags (high risk of severe illness or death from sepsis) children under 5

Answer 3

• behaviour (no response)
• HR
• RR
• mottled/ashen appearance
• cyanosis of the skin, lips, tongue
• non-blanching rash
• under 3 months and temp 38c or more
• temp less than 36cc

Question 4

Risk factors for sepsis

Answer 4

• Age (< 1 year) and > 75 years)
  very frail
• pregnant, have given birth or had a termination of pregnancy or miscarriage in the past 6 weeks.
• impaired immune systems
• surgery, or other invasive procedures, in the past 6 weeks.
• any breach of skin integrity
• misuse drugs intravenously
• indwelling lines or catheters
• close contact with people with group A streptococcal infection

Question 5

SEPSIS 6

Answer 5

Guideline for early management of sepsis
3 treatments and 3 tests = 6

Question 6

Treatment (3)

Answer 6

1. Antibiotics
   - Broad spectrum antibiotics at
   MAXIMUM recommended dose within 1 hour of diagnosis
   - Narrow spectrum used once blood culture tests are done
2. IV fluids (for fluid resuscitation)
3. Oxygen (give oxygen)

Question 7

Tests (3)

Answer 7

1. Blood culture
2. Blood tests (including lactate)
3. Monitor urine output

Question 8

oxygen target

Answer 8

94 - 98