Sepsis Flashcards
1
Q
SIRS
A
HR >90
RR> 20
Temperature <
WBC >12
2
Q
Sepsis
A
SIRS (2 out of 4) + Infection
3
Q
Severe Sepsis
A
Sepsis + Hypotension (systole <90), hypoperfusion, organ probs
4
Q
Sepsis Shock
A
Use of vasopressors
Major Hypo
5
Q
Bugs
A
S. aureus
Pseudomonas
Enterobact
6
Q
RF Associated with Increased Mortality
A
Shock Fatal underlying >70 Gram - or yeast Wrong abx Leucopenia, bleeding Multiple organ failure
7
Q
Diagnosis
A
3 blood cultures
1 percutaneous blood culture
1 from each device
8
Q
Treatment Stuff
A
Within 1 hour
3-5 d and de-escalate
Treatment 7-10d
9
Q
Goals of therapy within 6 hrs
A
CVP 8-12
MAP >65
Urine output >.5 ml/kg/hr
O2 sat >70
10
Q
Treatment of Sepsis
A
Fluid resuscitation
CV Support
Steroids (shock)
Blood products
11
Q
Fluids
A
Cystalloids or Colloids
NOT hetastarch
12
Q
CV Support
A
Vasopressor
NE or E
