We're All Related Concepts It has to Begin Somewhere It's a Risky Business Because of a Cause What's a Nurse to do?
100
What is perfusion?
The complex cascade of the physiologic events of sepsis decrease this important concept
100
What is systemic inflammatory response syndrome?
This results from a clinical insult that initiates an inflammatory response that is systematic, rather than localized to the site of insult
100
What are hospital associated infections?
Infections not present at the time of admission
100
What are invasive procedures?
Technology advances have created increased use of these procedures to diagnose and treat medical conditions
100
What is recognize and treat early?
This is what needs to occur FIRST to reduce morbidity and mortality related to sepsis
200
What is oxygenation?
Decreased perfusion to the tissues related to sepsis affects this physiologic concept
200
What is temperature?
This clinical criteria for SIRS can be elevated or below normal
200
What is bacteremia?
Bacteria in the bloodstream
200
What are older adults?
This age group is at greater risk for developing sepsis due to decreased physiologic reserves, weaker immune system, comorbidities, and nonspecific presentation of sepsis
200
What is strict infection control?
This must be practiced al all times, for all patients, in all settings, no ifs, ands, or buts
300
What is nutrition?
This concept is an important part of cells, tissues, organs, and whole body health that is affected by sepsis
300
What is tachycardia?
This clinical criteria for SIRS is the clinical term for the heart rate associated with this syndrome
300
What is urosepsis?
Infection that begins in the urinary tract that can be associated with urinary catheters and untreated UTIs
300
What is chronic illness?
Examples are DM, hepatitis, chronic kidney disease, immunodeficiency disorders, and cancer
300
What is thorough hand hygiene?
Gel in - Gel out
At least 20 seconds - every time
Use soap and water if visibly soiled
The 5 moments
400
What is metabolism?
In sepsis this concept is greatly increased, requiring the body to work much harder to regain homeostasis
400
What is tachypnea?
This clinical criteria for SIRS is the clinical term for the respiratory rate associated with this syndrome
400
What is a surgical site infection?
Infection following a surgical procedure that can develop up to 90 days after the surgery
400
What are indwelling medical devices?
Examples are urinary catheters, CVP lines, central lines, and peripheral IV lines
400
What is processes to prevent HAP?
Early ambulation, coughing and deep breathing, chest physiotherapy, incentive spirometer
500
What is fluid and electrolytes?
It is critical that sepsis is recognized and treated early to prevent critical imbalances of this physiologic concept
500
What is WBC count?
This blood cell count is > 12,000 cells/mm3 in patients diagnosed with SIRS
500
What are antibiotic-resistant microorganisms?
Some examples are MDRO, MRSA, Streptococcus pneumiae, carbapenem-resistant enterobacteriaceae (CRE)
500
What is immunosuppression?
A condition that can be caused by disease, medication, surgery, age, or genetics that places the patient with infection at greater risk for developing sepsis
500
What is the sepsis bundle?
Obtain serum lactate, blood cultures x2, pan cultures, CBC, Chem 7, BUN, creatinine, Coag studies, albumin, prealbumin first
Replace fluids with IV normal saline
Administer broad spectrum antibiotics
Administer vasopressors, sedation, DVT and stress ulcer prophylaxis
Monitor I&O, hemodynamic status, nutritional status, daily weight






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