Sepsis for Progressive Care Certified Nurse (PCCN)

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Outline

Sepsis

 

Definition/Etiology:

  • Sepsis- abnormal inflammatory response resulting from an infection

 

Pathophysiology:

  • Abnormal inflammatory response
  • Changes to the vasculature
  • SIRS criteria

 

Noticing: Assessment & Recognizing Cues:

  • Prevention
    • Treat infections early
    • Recognize early decline
  • Assessment
    • AMS
    • SIRS criteria
    • HR up (or down)
    • BP down
    • RR up (or down)
    • Temp up (or down)
    • SpO2 down

 

Interpreting: Analyzing & Planning:

  • Complete Blood Count (CBC)
  • Basic/Complete Metabolic Panel (BMP/CMP)
    • Renal
    • Hepatic
  • Lactate level (>2 or >4)
    • Organ dysfunction
  • Find/confirm the source of infection
    • Chest x-ray/sputum culture (PNA)
    • Urinalysis/culture (UTI)
    • Blood cultures (Septicemia)

 

Responding: Patient Interventions & Taking Action:

  • Antibiotics (maybe 2 or 3) QUICKLY!
  • IV fluids A LOT!
  • Decline further

 

Reflecting: Evaluating Patient Outcomes:

  • High mortality and morbidity
  • Early recognition is KEY!

Patient improvement:

  • Vital signs stabilized
  • Restored perfusion to organs (labs)

Continued treatment:

  • Abx

 

Linchpins (Key Points):

  • Sepsis ≠ septicemia
  • Sepsis is an abnormal inflammatory response.
  • Septicemia is an infection in the blood.

 

 

 

 

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References

 

 

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