Sepsis

The fluid resuscitation equation for sepsis is:

• 30mL/ kg crystalloid fluid

• 10mL/ kg lactated ringers only

• 20mL/ kg crystalloid fluid

Which of the following should be administered first after drawing blood cultures?

• Vancomycin

• Broad spectrum antibiotics

• Tylenol for fever

If the patient is still hypotensive despite adequate fluid resuscitation, which of the following may be considered?

• More lactated ringer's

• Atropine

• Norepinephrine

What type of shock is septic shock?

• Distributive

• Obstructive

• Hypovolemic

• Cardiogenic

Answer explanation

 Caused by leakage of fluid from capillaries. Mortality > 50%.

What is the Confluence Health door to antibiotics goal? (not CMS-- internal goal)

• 45 minutes

• 30 minutes

• 60 minutes

• 90 minutes

What are some risk factors for sepsis?

• Compromised skin integrity

• Indwelling catheter

• Recent surgical procedure

• Diabetes

What is included in the CMS (Centers for Medicaid and Medicare Services) 3 hour bundle?

Select all that apply

• Lactic acid

• Blood cultures

• Antibiotic

• CBC

What triggers the fluid resuscitation to be ordered? (Select all the apply)

• Lactic > or = to 4

• Hypotension (systolic BP < 100)

• Altered mental status

• WBC > 15