Sepsis 6

Question 1

Take 3 for sepsis

Answer 1

Take blood cultures
Take blood lactate
Measure urine output

Question 2

Give 3 for sepsis

Answer 2

Give O2
Give IV fluids
Give IV antibiotics

Question 3

What is elevated blood lactate a marker of

Answer 3

Generalised hypo perfusion, septic shock

No enough O2 is getting to tissues

Question 4

What is low urine output a marker of in sepsis

Answer 4

Renal dysfunction

Question 5

Sats aim for normal patient

Answer 5

94-98%

Question 6

Sats aim for COPD patient

Answer 6

88-92%

Question 7

When is septic shock diagnosed

Answer 7

Hypoperfusion persistes after IV fluid challenge
Or
Having serum lactate >2mmol/l

Question 8

How much fluids to give?

Answer 8

30ml/kg fluid

Question 9

How quickly should you administer Abx?

Answer 9

<1hr

Question 10

Which abx should you administer?

Answer 10

Initially broad spectrum

Then according to microbiological culture results

Question 11

What 3 components make up a qSOFA score/

Answer 11

Hypotension <100mmHg
Altered mental status
Tachypnoea RR>22/min

Question 12

What is qSOFA score

Answer 12

A bedside prompt that may identify patients with suspected infection who are at greater risk for a poor outcome outside the intensive care unit (ICU).

Question 13

What qSOFA score suggests greater risk of poorer outcomes

Answer 13

2 or more