Sepsis

Question 1

What is sepsis?

Answer 1

Sepsis is a life threatening condition
The body’s response to an infection injures its own tissues and organs with the immune system becoming dysregulated. This causes organ dysfunction.

Question 2

What is neutropenic sepsis?

Answer 2

A potentially life threatening complication of neutropenia, defined by a temperature higher than 38C and a high or low neutrophil count.

Question 3

What are some causes of neutropenic sepsis?

Answer 3

Cytotoxic chemotherapy
Infections
Stem cell transplant
Bone marrow disorders
Immunosuppressive drugs
Nutritional deficiencies.

Question 4

What is aneuric?

Answer 4

The kidneys fail to produce or release urine, leading to build up of waste products causing electrolyte imbalance, fluid overload and serious compilations.
WITHHOLDING URINE!

Question 5

Name nursing assessments for neutropenic sepsis?

Answer 5

History checking.
Check for signs of infection.
Presence of venous access device (CV.LINE).
Undertake physiological assessment for baseline treatment.
Head to toe skin assessment for rashes or wounds.

Question 6

Name Nursing management for neutropenic sepsis?

Answer 6

Give oxygen therapy
Urinalysis / urine dip
Administer broad spectrum antibiotics
Take swabs.
X-ray (collection of infection)
Monitor urine input and output
Escalate to clinican
Take blood test for microbiology
SEPSIS SIX

Question 7

What exposure causes neutropenic sepsis?

Answer 7

Gram positive bacteria

Question 8

How would nurse support patient education on discharge?

Answer 8

Need to adhere to medication plan
Self monitor symptoms like temperature and do they have access/ equipment such as thermometer.
Provide sepsis advice if symptoms
Infection prevention / hygiene guidance to avoid infections.

Question 9

Nursing management for sepsis using BUFALO?

Answer 9

BLOOD CULTURES
URINE OUTPUT
FLUIDS
ANTIBIOTCS
LACTATE
OXYGEN

Question 10

Why are infants more prone to sepsis?

Answer 10

They have underdeveloped immune system.