Sepsis Flashcards
1
Q
NICE traffic light system - red
crietira and action
A
systolic <90 HR >130 o2 <91 rr >25 AVPU = V, P or U lactate >2 IMMEDIATE ACTION for any
2
Q
ix
A
FBC urine dip/MC+S U+E -> dehydrationn/organ failure LFT - hypoalbuminaemia likely glucose - hyperglycaemia clotting - DIC 2x blood cultures scans lactate ABG
3
Q
what may show on the ABG
A
metabolic acidosis
4
Q
key immediate interventions
A
THE SEPSIS 6 1. high flow o2 2. blood cultures 3. IV abx 4. fluids 5. check Hb and serial lactates 6. hrly urine output measures should be completed within 1 hr of intial identification
5
Q
what level is highly predictive of death in sepsis
A
lactate.
<2 = 15% mortality
2-4 = 25%
>4 = 38%
6
Q
definition of sepsis
A
life threatening organ dysfucntion caused by dysregulated host response to infection
7
Q
signs of organ dysfuction
A
hypotension (SBP<90, MAP<65
hypoperfusion (serum lactate >2)
hypoxia <90% or needs O2
renal failure (<0.5ml/kg urine for 2 hr), creat >177
marrow and clotting (plts <100, INR >1.5, aPPT>60s
8
Q
when are the sepsis 6 completed and within what time frame
A
any of the markers for sepsis present or SHEWS >3
perform within 1 hr
9
Q
markers for sepsis
A
BP <90 systolic OR >40 drop of norm HR >130 RR >25 O2 <90 URINE <30 ml/hr (NOT MEASURED PER KG) lactate >2 cr >177 pt <100 appt >60 secs INR >1.5
10
Q
what are the sepsis 6
A
BUFALO blood culture urine output (hrly) fluid challenges abx (broad spec) lactate oxygen
