shock cpg - sepsis

Question 1

when should sepsis be suspercted?

Answer 1

wheree there is known or suspected infelction plus or minus risk factors for sepsis or sirs criteria and a systolic BP less than 100

Question 2

what are the fluid doses?

Answer 2

elderly-chroc renal failure/hx cardiac failure - 500ml
all other 1000ml

Question 3

what to do is there is a transport time greater than 30 minutes?

Answer 3

consult for 2g IV ceftriaxone

Question 4

what are the sings symptoms suggestive of infection?

Answer 4

fever, chills, rigors, malaise
neurological: altered mental state, heachage, meneigitis, deteroation in ADLS
resp - cough and dysponea
abdominal- ridgidity, pain, tenderness, guarding, swelling
genitourinary- dysuria, frequency, heamtoyruia
skin- celulitis, petechail ras septic arthristis
infected wound

Question 5

what are the risk factors for sepsis?

Answer 5

neutropenia, recent chemotherapy, other immunocompromised
recent pneumonia or COPD
recent trauma/surgury
indwelling medical devices

Question 6

what is included in the SIRS criteria?

Answer 6

<36 or >38 temp
hr >90
RR >20