Podcast
Questions and Answers
What is the maximum total amount of normal saline (NS) that can be administered to a patient under specific conditions?
What is the maximum total amount of normal saline (NS) that can be administered to a patient under specific conditions?
- 2000ml (correct)
- 1500ml
- 2500ml
- 1000ml
What action should be taken if the SIRS criteria are reassessed and still present?
What action should be taken if the SIRS criteria are reassessed and still present?
- Initiate immediate transport to the hospital.
- Consider a different treatment protocol.
- Repeat the normal saline bolus. (correct)
- Administer additional medications.
Which situation would necessitate exiting to an appropriate protocol?
Which situation would necessitate exiting to an appropriate protocol?
- The SBP is below 60.
- Fluid overload is suspected.
- SIRS criteria are not present. (correct)
- The total NS exceeds 1000ml.
When dealing with a hypotensive pediatric patient, what protocol should be referred to?
When dealing with a hypotensive pediatric patient, what protocol should be referred to?
What must be done during transport if a sepsis alert is triggered?
What must be done during transport if a sepsis alert is triggered?
Which of the following is NOT a sign of suspected sepsis?
Which of the following is NOT a sign of suspected sepsis?
What is the heart rate criterion for the SIRS criteria in adults?
What is the heart rate criterion for the SIRS criteria in adults?
Which symptom is associated with a higher risk of developing sepsis?
Which symptom is associated with a higher risk of developing sepsis?
Which associated symptom could help localize the source of infection in suspected sepsis?
Which associated symptom could help localize the source of infection in suspected sepsis?
In which situation would a positive sepsis screen be most likely?
In which situation would a positive sepsis screen be most likely?
What is the recommended action if the sepsis screen is positive?
What is the recommended action if the sepsis screen is positive?
Which of the following conditions would NOT typically lead to a suspicion of sepsis?
Which of the following conditions would NOT typically lead to a suspicion of sepsis?
Which vital sign alteration would indicate a child meeting SIRS criteria?
Which vital sign alteration would indicate a child meeting SIRS criteria?
Flashcards
Sepsis
Sepsis
A condition where the body's immune system overreacts to an infection, leading to widespread inflammation and organ dysfunction.
SIRS Criteria
SIRS Criteria
A set of criteria used to identify potential sepsis cases, based on vital signs like body temperature, heart rate, respiratory rate, and white blood cell count.
Distributive Shock
Distributive Shock
A type of shock caused by widespread blood vessel dilation, leading to decreased blood pressure.
Fluid Bolus
Fluid Bolus
Signup and view all the flashcards
Sepsis Alert
Sepsis Alert
Signup and view all the flashcards
Systemic Inflammatory Response Syndrome (SIRS)
Systemic Inflammatory Response Syndrome (SIRS)
Signup and view all the flashcards
Sepsis Screen
Sepsis Screen
Signup and view all the flashcards
Establish IV/IO (Intravenous/Intraosseous)
Establish IV/IO (Intravenous/Intraosseous)
Signup and view all the flashcards
SBP < 90 mmHg
SBP < 90 mmHg
Signup and view all the flashcards
Heart Rate > 90/minute
Heart Rate > 90/minute
Signup and view all the flashcards
Respiratory Rate > 20
Respiratory Rate > 20
Signup and view all the flashcards
GCS < 15 (Glasgow Coma Scale)
GCS < 15 (Glasgow Coma Scale)
Signup and view all the flashcards
Study Notes
Adult Suspected Sepsis Protocol 53
-
History: Fever duration and severity, past medical history, recent antibiotics, immunocompromised status (transplant, HIV, diabetes, cancer), indwelling medical devices, recent use of acetaminophen or ibuprofen, recent hospitalizations, bedridden/immobile status, elderly/young at risk, prosthetic devices or indwelling devices
-
Signs and Symptoms: Warmth, flushed skin, sweating, chills, delayed capillary refill, mental status changes
-
Associated Symptoms (helpful to localize source): Myalgia, cough, chest pain, headache, dysuria, abdominal pain, rash
-
Differential Diagnosis: Infections (UTI, pneumonia, skin/wound), cancer, medication/drug reaction, connective tissue disease (arthritis), vasculitis, hyperthyroidism, heat stroke, meningitis, hypoglycemia/hypothermia, MI/CVA
-
Sepsis Screening: Presence of obvious or suspected infection source, And/or any of the following Systemic Inflammatory Response Syndrome (SIRS) criteria; low blood pressure (systolic blood pressure <90 mmHg), elevated heart rate (>90 beats per minute), elevated respiratory rate (>20 breaths per minute), low Glasgow Coma Scale score (<15), high temperature (>100.4°F or <96.0°F)
-
Sepsis Screen Positive: Establish an IV/IO line, if systolic blood pressure is below 90 mmHg or mean arterial pressure is below 60 mmHg, administer normal saline (NS) boluses to maintain SBP >90 and MAP>60, up to a maximum of 1000 ml. Repeatedly reassess SIRS criteria, potentially administering additional NS boluses up to a maximum total of 2000 ml, until concern over fluid overload, but keep treating if SIRS criteria remains present
-
Sepsis Screen Negative: Exit to appropriate treatment protocol as needed
Pediatric SIRS Criteria
-
Temperature: Same as adult criteria
-
Heart Rate:
-
1 month to 1 year: >180
-
2 to 5 years: >140
-
6 to 12 years: >130
-
13 to 18 years: >120
-
Distributive Shock in Pediatric Patients: Refer to protocol #68
-
Sepsis Alert: Notify receiving facility during transport
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Dive into the critical aspects of recognizing and managing suspected sepsis in adults. This quiz covers history, signs, symptoms, differential diagnoses, and sepsis screening strategies. Perfect for healthcare professionals and students keen on emergency medicine.
