What is the first question you must answer before diagnosing sepsis?
Infection or not?
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
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
Which response must you give within 1 hour if you reckon a patient's response to infection is excessive?
What are some special considerations when administering sepsis six?
Endocarditis (3 samples instead of 1)
Heart failure (be careful with fluids)
C. diff (oral vanc!)
loads of others
What are the steps in diagnosing infection?
INVESTIGATIONS - radiologym biochemistry, immunology, microbiology sampleS, PCR, molecular studies
What sorts of patients may have abnormal responses to infection?
cards for abnormal pathogens and abnormal sites
What patient must be treated very differently from an acute care adult in terms of sepsis?
People presenting to GPs (e.g rural patients)
If a patient's NEWS is 5 or more, think ___.
What must you remember to do when taking blood for culture?
Take samples from all other relevant sites
How many cultures need to be taken in Sepsis 6?
(Three for endocarditis)
What must you do with pus?
How are viruses e.g flu identified?
What are the 4 Ds of antimicrobial therapy?
Which antibiotics can cause C. diff infection?
All of them
but the 4Cs in particular
Which fluoroquinolones can cause C. diff infection?
All of them
but ciprofloxacin has a c in it
Which capsular antigen is associated with H. influenzae?
hence it's called the HiB vaccine
antigens may be asked about - learn some
get your hands on a colonisers diagram
e.g "an oral swab found candida" is not suspicious