1
Q
Septic Shock
A
- Requires vasopressor to keep MAP 65+
- Serum lactate >2
- MODS
2
Q
Sepsis Early S&S
A
- CO low
- BP low
3
Q
Sepsis S&S (worsening)
A
- CO high
- HR & BP high
- CVP normal
- Warm skin
- DIC = widespread hypoxia
- Hemorrhage
- Severe hypovolemic shock S&S
- ARDS from SIRS
- Pallor
- Mottling
- Cyanotic
- Petechiae
- Ecchymoses
- Blood oozes from venipuncture sites, gums, mucous membranes
- Oliguria
- Impending doom
ARDS = high mortality rate!
4
Q
Sepsis Labs
A
- Lactate >2
- Procalcitonin high
- WBC high
- H/H levels change in late shock
5
Q
Hour-1 bundle for managing sepsis
A
- Measure lactate
- Cultures before Abx
- Broad-spectrum abx
- Crystalloids for HOTN or lactate >4
- Vasopressors
