Sepsis

Question 1

Sepsis

Answer 1

Life-threatening organ dysfunction caused by dysregulated host response to infection

Question 2

Septic shock

Answer 2

Circulatory, cellular and metabolic abnormalities are associated with a greater risk of mortality than sepsis alone

Question 3

qSOFA

Answer 3

RR >22min

Altered mentation

Systolic BP <100

Question 4

Red flag criteria

Answer 4

Responds only to voice or pain or unresponsive

Acute confusional state

Systolic BP <90

HR >130

RR >25

Need oxygen to keep sats >92%

Non-blanching rash, mottled/ ashen/ cyanotic

Not passed urine in last 18h

Lactate >2

Recent chemotherapy

Question 5

Amber flag criteria

Answer 5

Relatives concerned about mental status

Acute deterioration in functional ability

Immunocompromised

Trauma/ surgery/ procedure in last.6 months

RR 21-24

Systolic BP 91-100

HR 91-130 or new dysrhythmia

Not passed urine in last 12-18 hours

Temp <36

Clinical signs of wound, device or skin infection

Question 6

Sepsis 6

Answer 6

Administer oxygen

Take blood cultures

Give broad-spectrum antibiotics

Give IV fluid challenge

Measure serum lactate

Measure accurate hourly urine output