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Flashcards in 11: Summary of sepsis Deck (20)
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1

What is the first question you must answer before diagnosing sepsis?

Infection or not?

2

After deciding there is infection, what question should you ask?

Where is the infection that is causing sepsis

i.e which antibiotic man antibiotics do I choose

3

After you've confirmed the site of infection, a NEWS score of > __ says their response is excessive.

What are the corresponding qSOFA and SIRS scores?

NEWS > 5

qSOFA > 2

SIRS > 2

4

Which response must you give within 1 hour if you reckon a patient's response to infection is excessive?

SEPSIS SIX

BUFALO

5

What are some special considerations when administering sepsis six?

COPD

Endocarditis (3 samples instead of 1)

Heart failure (be careful with fluids)

C. diff (oral vanc!)

loads of others

6

What are the steps in diagnosing infection?

HISTORY

EXAMINATION

INVESTIGATIONS - radiologym biochemistry, immunology, microbiology sampleS, PCR, molecular studies

7

What sorts of patients may have abnormal responses to infection?

cards for abnormal pathogens and abnormal sites

Younger/older

Pregnant

Immunosuppressed

Co-morbidities

8

What patient must be treated very differently from an acute care adult in terms of sepsis?

People presenting to GPs (e.g rural patients)

Pregnant women

Children

9

If a patient's NEWS is 5 or more, think ___.

sepsis

10

What must you remember to do when taking blood for culture?

Take samples from all other relevant sites

11

How many cultures need to be taken in Sepsis 6?

One

(Three for endocarditis)

12

What must you do with pus?

Drain it

13

How are viruses e.g flu identified?

Viral PCR

14

What are the 4 Ds of antimicrobial therapy?

Dose

Duration

Dform

De-escalate

15

Which antibiotics can cause C. diff infection?

All of them

but the 4Cs in particular

16

Which fluoroquinolones can cause C. diff infection?

All of them

but ciprofloxacin has a c in it

17

Which capsular antigen is associated with H. influenzae?

Type B

hence it's called the HiB vaccine

18

antigens may be asked about - learn some

19

get your hands on a colonisers diagram

e.g "an oral swab found candida" is not suspicious

20