Second Chance - Sepsis

Along with suspected infection + addnl criteria, what qualifies for septic shock?

A change in SOFA score of what number from baseline indicates organ dysfunction?

SOFA Score looks at what factors?

What empiric therapy should be started? (SELECT ALL THAT APPLY)

If only 1 IV line, what abx to start first and how soon from arrival should it be started?

What is anticipated duration of tx? day 1 = day of appropriate abx given, incl empiric

What if bacteria (+), what is duration of tx?

What are the hemodynamic goals for initial resuscitation?

What is an appropriate crystalloid fluid to give?

What percentage of NaCl stays in intravascular space?

History of multi-drug resistant gram negative infection/colonization within past 90 days or Prior IV broad spec for >72hrs within last 14 days.

What to add if possible intra-abd catastrophy?

What to do if no risk factors empirically?

Goal for MAP and SCVO2?

When should NE be given?

If NE does not work, what should be given next?

When should hydrocortisone 50mg IV q6hrs be used?

What if HR and MAP resolved but SCVO2 and CO are still low?

What to do if patient develops a-fib from NE?