sepsis

Question 1

what is the sepsis 6

Answer 1

FABULO (not right order)

1) high flow Oxygen
2) IV Fluid resuscitation
3) take Blood cultures
4) IV antibiotics
5) measure Lactate (and FBC) - <1 normal, 1-2 concerning, >2 bad, >4 very bad
6) monitor hourly Urine output

Question 2

what are common causes of community acquired sepsis

Answer 2

E. Coli
S. Pneumonia
S. Aureus

Question 3

what are common causes of hospital acquired sepsis

Answer 3

E. Coli
S. Aureus
Coagulase -ve staphylococci
Enterococci
Klebsiella spp.
Pseudomonas spp

Question 4

how do you treat a large abscess

Answer 4

drainage

Question 5

how do you treat a small abscess

Answer 5

antibiotics

Question 6

what is sepsis

Answer 6

systemic inflammatory response to infection
SIRS + signs of atlas 1 acute organ dysfunction

decrease in circulatory blood volume due to endotoxins causing vasodilation and intravascular fluid leaking into adjacent tissues

Question 7

what is severe sepsis

Answer 7

acute organ dysfunction secondary to sepsis

Question 8

what is septic shock

Answer 8

severe sepsis + hypotension refractory to adequate volume resuscitation or requiring vasopressors or inotropes

Question 9

what are some local signs of sepsis

Answer 9

pain
tenderness
guarding
blood PR

Question 10

what are some systemic symptoms of sepsis

Answer 10

fever
rigors
N and V
constipation/diarrhoea
malaise
anorexia
lethargy

Question 11

what is the treatment of severe sepsis + enteric fever

Answer 11

ceftriaxone

Question 12

what is SIRS

Answer 12

2+ of
temp > 38 < 36
HR > 90
RR > 20
WBC > 12000 or < 4000

Question 13

what are some s/s septic shock (meningitis)

Answer 13

non-blanching rash
headache
neck stiffness
strong BOUNDING pulse of 100bpm