Sepsis (Adult)

Question 1

What is the qSOFA criteria?

Answer 1

Hypotension - SBP <100mmHg
Altered Mentation
Tachypnoea - RR >22

Question 2

What is septic shock criteria?

Answer 2

Requirement for vasopressors to maintain MAP of 65mmHg
Serum Lactate >2mmol/L

Question 2

What is the mortality rate of Meningococcal Septicaemia

Answer 2

5-10%

Question 3

Management of Suspected Meningococcal Septicaemia?

Answer 3

IV/IO/IM Benzylpenicillin
- 2400mg

Question 4

How do we reconstitute Benzylpencillin

Answer 4

1.2 with 3.2mL water

Question 5

Management of suspected sepsis with a MAP <65mmHg or SBP <100mmHg

Answer 5

Saline 250mL aliquots up to 20mL/kg
-aim MAP >65mmHg or SBP >100mmHg
IF unable to maintain perfusion with Saline
Adrenaline
-Syringe start 5mcg/min consult >50mcg/min
OR
-Manual start at 0.1mcg/kg/min
-1drop/sec is 6mcg/min
AND
Continue Saline up to 30mL/kg