Week 2 Misc Flashcards
When is Sepsis diagnosed?
- Only confimred when the evidence becomes available, normally on discharge.
After what NEWS2 score should sepsis be considered?
- 5+
What is the average increase in mortality rate for every hour antibiotics are delayed?
7.6%
Define “DIC”
Disseminated intravascular coagulation, Where the activation of the coagulation system causes thrombi to build in the small blood vessles.
Define “Sepsis”.
Life threatening organ dysfunction caused by a disregulated host response to infection.
What are the 3 key considerations when assessing and treating septic patients?
- Increased index of suspicsion
- Early recognition
- Rapid transport to ED.
When assessing a Pt who has been under oncology for the last 12 month, which screening tool should be used?
UKCONS
What are the risk factors that may indicate new borns becoming Septic?
- History of fever during labour
- History of previous children acquiring sepsis
- History of ruptured membranes during labour
Which groups are at High risk of sepsis?
- <1 or >75
- Immuno-compromised
- Recent surgery
- Breech of skin integrity
- IV Drug users
- Indwelling lines (Catheters ect)
- Pregnant women
What is the mortality rate in neutropenic septic adults?
21%
How long after Chemotherapy is a patient at risk of neutropenic sepsis?
Most susceptible for up to 10 days
6-8 weeks following treatment
What are the main red flags/ recognition features for neutropenic sepsis?
- Tachypneoia
- Tachycardia
- Hypotension
- > 37.5
- Pleuritic chest pain
- Shivering
- Catheter site infections
Define “Drowning”.
The process resulting in primary respiratory impairment from submersion or immersion in a liquid medium
Define “Immersion”.
Refers to the patient being covered in a liquid mediu, likely to cause hypothermia and cardiovascular collapse.
Define “Submersion”.
When the entire body including airway, under the liquid medium, with asphyxia and hypoxia being the main concerns.
