YR 2 F1- Sepsis

Question 1

What is Sepsis?

Answer 1

Sepsis is a life-threatening condition that arises when the body’s response to infection causes injury to its own tissues and organs

It causes inflammation/swelling and blood clotting.

Question 2

Three things have to occur for the patient to be classed as being in septic shock. What are they?

Answer 2

Bp drops

Heart Rate decreases (Mean artrial greater than 65)

Increase in lactate levels (Serum lactate greater 2)

Question 3

What is the SHOCK element in sepsis meaning?

Answer 3

decreased tissue perfusion and decreased oxygenation of the tissues.

This is what results in organs failing

Question 4

Signs/Symptoms of Sepsis

Answer 4

• Shivering/Fever or very cold
• Extreme pain or general discomfort
• Pale/Discoloured skin
• Sleepy or confused
• Shortness of breath

Question 5

Classification of Sepsis

Answer 5

• Sepsis
• Septic Shock
• Multiple Organ Dysfunction

Question 6

Sepsis

Temp:

Heart Rate:

Respirartory Rate:

PaCO2:

WBC:

Answer 6

Question 7

What are the Sepsis 6 and why are they performed?

Answer 7

The Sepsis Six is the name given to a bundle of medical therapies designed to reduce mortality in patients with sepsis. This can rescue patients within one hour of diagnosis

Question 8

Name ALL of Sepsis 6

Answer 8

Blood culture – take two or more blood cultures before giving any antibiotics. This allows doctors to find the source of infection.

Serum Lactate- lactate is the result of your body not having enough oxygen and relying on alternative mechanisms. Too much lactate in our body can be bad. If lactate levels are more than 4 millimoles per litre than more intensive treatment should be started.

Urine output – measured on a hourly. Less than 0.5ml/kg/hr = severe sepsis.

Fluid/Intravenous Resuscitation- when you have low blood volume, low bp and low oxygen delivery to organs. So you inject them with 4-5 litres of fluid. Intravenous means straight into the blood

Oxygen Supplementation- increases amount of oxygen in circulation

Antibiotics – used to eradicate the bacteria that started the infection/sepsis

Question 9

Which of the sepsis 6 do you measure?

Answer 9

Blood culture

Serum Lactate

Urine Output

Question 10

Whic of the sepsis 6 do you give to the patient?

Answer 10

Fluid/intravenous Resuscitation

Oxygen Supllementation

Antibiotics