Sepsis

Question 1

microbio of sepsis form peritonitis

Answer 1

anaerobes (eg ecoli)

Question 2

how does the infection spread in sepsis

Answer 2

leaky blood vessels

Question 3

what is septicaemia

Answer 3

a word that isnt used anymore bc its too vague lol

not the right answer in exams

Question 4

what is bacteraemia

Answer 4

bacteria in the blood

Question 5

SIRS criteria

Answer 5

2 or more of
temp >38 or <36 (fever) 
heart rate >90 (tachycardia) 
resp rate >20 (tachypnoea)
WCC >12000mm3

Question 6

sepsis criteria

Answer 6

SIRS with an infectious cause

Question 7

sepsis shock definition

Answer 7

sepsis with unresponsive hypotension (to fluids) = higher risk of mortality

Question 8

a NEWS score of what with ?infection should make you think sepsis

Answer 8

5

Question 9

how quickly should you administer ‘BUFALO’ for sepsis to prevent complications

Answer 9

1 hour

Question 10

BUFALO - B

Answer 10

blood cultures (2 sets)

Question 11

BUFALO - U

Answer 11

urine output

Question 12

BUFALO - F

Answer 12

fluids

0.9% saline (sodium chloride) 500mls stat bolus (then keep adding 500ml boluses until necessary)

Question 13

BUFALO - A

Answer 13

antibiotics

Question 14

BUFALO - L

Answer 14

lactate (<1.8 is normal)

Question 15

BUFALO - O

Answer 15

oxygen (target sats 94-98%)

Question 16

why do you monitor urine output in sepsis

Answer 16

kidney damage/hypoperfusion = AKI

Question 17

target urine output for someone with sepsis

Answer 17

0.5ml/kg/hour

Question 18

if someone with sepsis was anaemic, what might you give them instead of saline for fluids

Answer 18

blood

Question 19

which microbio cause of sepsis would you give PO antibiotics in (all others are IV)

Answer 19

c diff

Question 20

antibiotic for coliform cause of sepsis

Answer 20

gentamicin

Question 21

which screening tool is used to measure prognosis in sepsis

Answer 21

qSOFA

Question 22

qSOFA criteria

Answer 22

resp rate >22
altered mental state (AVPU/GCS<14)
systolic bp <100

Question 23

prognosis of someone with a qSOFA of 1

Answer 23

2-3% mortality

Question 24

prognosis of someone with a qSOFA of 2/3

Answer 24

10% mortality