Sepsis

What is Sepsis?

• A type of virus

• A type of bacteria

• Body's extreme response to infection & can be a life-threatening emergency

• A type of fungus

Answer explanation

Early recognition and treatment are critical for the patient' survival.

Sepsis can develop from UTI, COPD, bronchitis, PNA, cellulitis to name a few.

What can nurses do to help?

• Ensure collection of Blood Cultures prior to administration of antibiotics.

• Document patient/family refusal or treatment/medication.

• Ensure documentation of 2 blood pressures within 1 hour after IV bolus completion.

• All of the Above

All of the following are signs of sepsis EXCEPT:

• Extreme pain or discomfort ("worst ever").

• Confusion/difficult to arouse.

• Slow heart rate.

• Fever or feeling chilled.

• Shortness of Breath

Answer explanation

Heart Rate >90...usually tachycardic

When someone has severe sepsis, their chances of survival drop by almost 8% for every ____ that goes by without treatment.

• Minute

• Day

• Hour

• None of the Above.

The patient has Zosyn, Levaquin, and Vancomycin ordered all at the same time. Which broad spectrum antibiotic would you infuse first?

• Vancomycin

• Levaquin

• Zosyn

• Infuse each ABT to an available IV on patient.

Answer explanation

Pick the antibiotic with the shortest administration time

What is the criteria for SEVERE SEPSIS?

• Suspected source of infection

• 2 or more SIRs

  Temp > 100.9 or < 96.8

  Heart Rate >90

  Respirations >20/min

  WBC >12,000 or <4,000

• organ dysfunction

  SBP <90 or MAP <65

  Lactate >2.0

  CR >2.0 UOP <0.5ml/kg/hr x2 hours

  PLT <100,000

  INR >1.5 or aPTT >60 seconds

  Bilirubin >2.0mg/dl

  Respiratory failure with NEW NEED for mechanical venilation

• All of the Above

Before administration of broad spectrum antibiotics,

• Repeat vitals.

• Repeat a Lactic level.

• Ensure blood cultures have been collected.

• Start Levophed.

Severe Sepsis and Septic Shock 3-hour bundle includes:

• Initial Lactate and Blood Culture Collection.

• Initial Antibiotic started.

• Crystalloid Fluid Bolus started.

• All of the Above.