history of sepsis
how is the patient feeling
what symptoms do they have
do they have any allergies
bloods taken in sepsis?
FBC, U+Es, LFTs, VBG, blood cultures, CRP, clotting
BUFALO
blood cultures
urine output monitoring - check U+Es, urinalysis and urine cultures if positive
Fluids - IV bolus
Antibiotics - broad spec
Lactate - VBG
Oxygen
referrals in ? sepsis
Discuss with senior member of the team
Contact critical care outreach team
Consider referral to Intensive Care Unit (ICU)
when to consider ICU referral in sepsis
Failure to respond to medical management
Patient requires ventilator support
Patient requires blood pressure support
Deterioration of blood gas despite full medical management