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CLASP: Sepsis 2017/18 > 11: Summary of sepsis > Flashcards

Flashcards in 11: Summary of sepsis Deck (20)
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1
Q

What is the first question you must answer before diagnosing sepsis?

A

Infection or not?

2
Q

After deciding there is infection, what question should you ask?

A

Where is the infection that is causing sepsis

i.e which antibiotic man antibiotics do I choose

3
Q

After you’ve confirmed the site of infection, a NEWS score of > __ says their response is excessive.

What are the corresponding qSOFA and SIRS scores?

A

NEWS > 5

qSOFA > 2

SIRS > 2

4
Q

Which response must you give within 1 hour if you reckon a patient’s response to infection is excessive?

A

SEPSIS SIX

BUFALO

5
Q

What are some special considerations when administering sepsis six?

A

COPD

Endocarditis (3 samples instead of 1)

Heart failure (be careful with fluids)

C. diff (oral vanc!)

loads of others

6
Q

What are the steps in diagnosing infection?

A

HISTORY

EXAMINATION

INVESTIGATIONS - radiologym biochemistry, immunology, microbiology sampleS, PCR, molecular studies

7
Q

What sorts of patients may have abnormal responses to infection?

cards for abnormal pathogens and abnormal sites

A

Younger/older

Pregnant

Immunosuppressed

Co-morbidities

8
Q

What patient must be treated very differently from an acute care adult in terms of sepsis?

A

People presenting to GPs (e.g rural patients)

Pregnant women

Children

9
Q

If a patient’s NEWS is 5 or more, think ___.

A

sepsis

10
Q

What must you remember to do when taking blood for culture?

A

Take samples from all other relevant sites

11
Q

How many cultures need to be taken in Sepsis 6?

A

One

(Three for endocarditis)

12
Q

What must you do with pus?

A

Drain it

13
Q

How are viruses e.g flu identified?

A

Viral PCR

14
Q

What are the 4 Ds of antimicrobial therapy?

A

Dose

Duration

Dform

De-escalate

15
Q

Which antibiotics can cause C. diff infection?

A

All of them

but the 4Cs in particular

16
Q

Which fluoroquinolones can cause C. diff infection?

A

All of them

but ciprofloxacin has a c in it

17
Q

Which capsular antigen is associated with H. influenzae?

A

Type B

hence it’s called the HiB vaccine

18
Q

antigens may be asked about - learn some

A
19
Q

get your hands on a colonisers diagram

e.g “an oral swab found candida” is not suspicious

A
20
Q
A