Sepsis Management

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Sepsis Management by Mind Map: Sepsis Management

1. Current Treatment

1.1. Broad Spectrum Antibiotics

1.2. Fluid Resusitation

1.2.1. 30ml/kg over 15 minutes

1.3. Oxygenation

1.4. Pressure supportive measures

1.5. Organ function measurements

2. Education

2.1. Sepsis program

2.1.1. Sepsis program coordinator

2.1.1.1. Continued education

2.1.1.2. Chart auditing

2.1.2. Code sepsis drills

2.2. Annual review of protocols

3. Early Recognition

3.1. SIRS Criteria

3.1.1. New confusion

3.1.2. Temperature >38.3

3.1.3. Temperature <36

3.1.4. Heart Rate >90 bpm

3.1.5. Respiratory Rate >20 breaths per minute

3.1.6. Blood glucose > 7.7 mmol/L

3.1.7. White cell count >12x10^9/L

3.1.8. White cell count <4x10^9/L

3.2. Obtain within 1 hour

3.2.1. Blood cultures

3.2.2. Urine cultures

3.2.3. Chest x-ray

3.2.4. Culture obvious wounds

3.2.5. Serum lactate level

3.2.6. Blood cultures

3.3. Code sepsis

3.3.1. Initiated in triage

3.3.2. based on SIRS criteris

4. Trial Treatments

4.1. Ascorbic acid infusion

4.1.1. High dose

4.1.2. Low dose

4.2. Corticosteroids

4.3. Vitamin B1

5. Documentation

5.1. Electronic medical record

5.1.1. Sepsis tab

5.2. Provider notification

5.3. Proper documentation of cultures

6. Background

6.1. Accounts for $20.3 million dollars

6.1.1. 5% of overall money spent on healthcatre

6.2. Accounts for 20% of all hospital mortality