Sepsis Flashcards
1
Q
What is sepsis?
A
Dysregulation of host response to infection.
2
Q
What is septic shock?
A
Sepsis despite adequate volume resuscitation (persistent hypotension) and lactate >2mmol/l
3
Q
What two things are needed for septic shock?
A
Persistent hypotension
Lactate >2mmol/l
4
Q
how do you diagnose sepsis?
A
NEWS>5 with site of infection
5
Q
How do you treat sepsis?
A
Sepsis 6
6
Q
What is included in sepsis 6?
A
Take: Cultures (blood etc) x3 over an hour Lactate Urine output Give: O2 IV AB (after bloods) IV fluid (1x 500ml bolus Hartmanns/saline over 15 mins)
7
Q
What time frame should sepsis 6 be conducted in?
A
1h
8
Q
How should you manage a septic patient from hours 2-6?
A
Give 30ml/kg fluid over 3 hours
Aim for MAP>65
Aim for urine output >0,5ml/kg/h
9
Q
How do you tell if a septic patient is deteriorating?
A
New confusion, increased RR, decreased BP
All worse from baseline.
