Sepsis Flashcards
1
Q
What are the SIRS criteria of sepsis?
A
temp >38oC or <36oC
Heart rate >90/min
resp rate 20/min
WBC count >12,000/mm3 or <4,000/mm3
2 or more of these must be present to define sepsis.
2
Q
What is septic shock?
A
The presence of at least 2 of the SIRS criteria (sepsis) and acute failure of at least one organ.
3
Q
What bacteria need to be covered by antibiotic treatment during a colon-derived sepsis (e.g. due to colon perforation)?
A
enterococci
anaerobes
coliforms (e.g. Klebisiella)
4
Q
Treatment for intra-abdominal infections?
A
Amoxicillin (Vancomycin if allergic)
Gentamicin
Metronidazole
5
Q
What is the Sepsis Six?
A
high flow O2 IV fluid recuscitation blood cultures (+cultures from septic site) IV antibiotics measure lactate and FBC monitor urine output
