Sepsis.

Question 1

What are the SIRS criteria?

Answer 1

2 or more of:
HR 90 or over.
temp under 36 or over 38
RR 20 or over oe PaCO2 under 32mmHg.
WCC of under 4 or over 12 or over 10% immature neutrophils.

Question 2

What is the definition of hypotension in sepsis?

Answer 2

Systolic under 90 or 40 mmHG less than normal.

Question 3

What are the tests for sepsis and treatment for sepsis?

Answer 3

Give three and take three:

Give:
empirical antibiotics based on suspected infection - remember to refer to ab man.
Fluids - 500ml x 2 max then help for inotropes.
High flow oxygen.

Take:
Lactate and FBC
Cultures of anything relevant e.g. Bloods definitely but also sputum, urine etc.
Urine output - catheterise.