SEPSIS
Designation of condition
Severe infectious/inflammatory process occurring generally in older patients but possible in all age groups including infants. Generalized symptoms and signs from an infection that started in a localized form but has spread to involve many organ systems and the body as a whole. Highly lethal.
Criteria for probable sepsis
18 years and older and not pregnant (appreciate that rarely occurs in much younger patients).
At least two of the SIRS (Systemic Inflammatory Response Syndrome) criteria below
Temperature: >38 C (100.4 F) or <36 C (96.8 F)
Heart Rate: >90 beats/min without other explanation. May be higher in small children.
Respiratory Rate: >20 breaths/min without other explanation. May be higher in small children.
And
Suspected Infection
Systolic BP less than 90. May be lower in small children.
MAP < 65
End tidal CO2 levels equal to or lower than 25 correlated with high lactate levels and can indicate septic shock.
Procedure
Notify hospital of possible septic patient
Administer high flow O2
2 large bore IVs of isotonic solution
· IV fluid boluses (20 ml./kg. repeated as necessary)
Designation of condition
Severe infectious/inflammatory process occurring generally in older patients but possible in all age groups including infants. Generalized symptoms and signs from an infection that started in a localized form but has spread to involve many organ systems and the body as a whole. Highly lethal.
Criteria for probable sepsis
18 years and older and not pregnant (appreciate that rarely occurs in much younger patients).
At least two of the SIRS (Systemic Inflammatory Response Syndrome) criteria below
Temperature: >38 C (100.4 F) or <36 C (96.8 F)
Heart Rate: >90 beats/min without other explanation. May be higher in small children.
Respiratory Rate: >20 breaths/min without other explanation. May be higher in small children.
And
Suspected Infection
Systolic BP less than 90. May be lower in small children.
MAP < 65
End tidal CO2 levels equal to or lower than 25 correlated with high lactate levels and can indicate septic shock.
Procedure
Notify hospital of possible septic patient
Administer high flow O2
2 large bore IVs of isotonic solution
· IV fluid boluses (20 ml./kg. repeated as necessary)