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    Sepsis Quick Reference Guide

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    Ravin Debie
    This document provides a quick reference guide for recognizing and treating sepsis. It includes age-specific vital sign parameters to identify suspected infection and shock. The guide outlines initial intervention steps of intravenous access, labs, antibiotics, and fluid resuscitation. It also provides criteria for assessing resolution of shock and guidelines for vasopressor support and hydrocortisone treatment if shock is refractory or there is relative adrenal insufficiency.

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    Sepsis Quick Reference Guide

    Uploaded by

    Ravin Debie
    135 views1 page
    This document provides a quick reference guide for recognizing and treating sepsis. It includes age-specific vital sign parameters to identify suspected infection and shock. The guide outlines initial intervention steps of intravenous access, labs, antibiotics, and fluid resuscitation. It also provides criteria for assessing resolution of shock and guidelines for vasopressor support and hydrocortisone treatment if shock is refractory or there is relative adrenal insufficiency.

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    Sepsis-quick-reference-guide

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    This document provides a quick reference guide for recognizing and treating sepsis. It includes age-specific vital sign parameters to identify suspected infection and shock. The guide outlines initial intervention steps of intravenous access, labs, antibiotics, and fluid resuscitation. It also provides criteria for assessing resolution of shock and guidelines for vasopressor support and hydrocortisone treatment if shock is refractory or there is relative adrenal insufficiency.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    135 views1 page

    Sepsis Quick Reference Guide

    Uploaded by

    Ravin Debie
    This document provides a quick reference guide for recognizing and treating sepsis. It includes age-specific vital sign parameters to identify suspected infection and shock. The guide outlines initial intervention steps of intravenous access, labs, antibiotics, and fluid resuscitation. It also provides criteria for assessing resolution of shock and guidelines for vasopressor support and hydrocortisone treatment if shock is refractory or there is relative adrenal insufficiency.

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    © All Rights Reserved
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    Sepsis

    Quick Reference Guide


    Recognition HR HR RR SBP
    Age
    High Low High Low
    Suspected infection
    0 mins Tachycardia/ Tachypnoea
    0-1
    Altered mental status month
    >180 <100 >50 <65
    low DIASTOLIC pressure
    < 1
    >180 <100 >34 <100
    year
    Intervention
    Intravenous access * 2: use IO/external jugular if difficult 2-5
    5 mins U+Es Blood glucose, ABG, LFTs, FBC, X-match & clotting >140 <90 >22 <100
    years
    Blood culture, PCR
    8-12
    years >130 N/A >18 <105
    Resuscitation
    High flow O2 & 20mls/kg isotonic fluid bolus > 13
    Ceftriaxone 80mg/kg OR Cefotaxime 50mg/kg years >110 N/A >14 <117
    Consider Aciclovir (<6 weeks old, vesicular rash, coagulopathy)

    Reassessment to detect fluid overload COLD SHOCK WARM SHOCK


    Hepatomegaly
    Worsening crackles on auscultation
    CRT > 3 seconds CRT < 3 seconds

    NO
    Bounding Peripheral
    Weak Peripheral Pulse
    Pulse
    Reassessment to detect resolution of shock
    Heart rate and respiratory rate in age normal range
    Cold extremities Warm around the edge
    Capillary refill time < 3 seconds
    Palpable peripheral pulses
    Blood pressure in age normal range
    Narrow Pulse Pressure Wide Pulse Pressure
    Serum lactate < 2 mmol/L

    NO
    TIME ACTION AMOUNT

    15 mins 20 - 40 mls/kg isotonic fluid bolus Fluid ml

    Antibiotics mg
    Fluid refractory shock
    CALL SORT for advice re management
    Fluid ml
    Start peripheral dopamine at 5-10 mcg/kg/min
    Intubate and ventilate (Expect decompensation)
    Fluid ml

    Dopamine Mcg/kg/min
    60 mins
    Attempt central venous access Intubation

    Fluid ml
    Warm Shock Cold Shock
    Mcg/kg/min
    Adrenaline

    Noradrenaline Adrenaline Mcg/kg/min
    Noradrenaline
    0.1 mcg/kg/min 0.1 mcg/kg/min
    Max 1 mcg/kg/min Max 1 mcg/kg/min Fluid ml

    Fluid ml
    Relative adrenal Insufficiency
    Consider Hydrocortisone 1 mg/kg [max
    100mg] (2.5mg/kg in neonates) SORT May 2018 Review 2021
    (Discuss with SORT) www.sort.nhs.uk

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