Sepsis & Medical Hdu

Sepsis & Medical HDU Sara Furness 2009.

Why talk about sepsis? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Some definitions: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Sepsis ,[object Object],[object Object],[object Object],[object Object],[object Object]

How do I know if it is severe sepsis? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sepsis is a very bad thing… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Sepsis Six ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sustain Respiration ,[object Object],[object Object],[object Object],[object Object]

Find the cause & early treatment ,[object Object],[object Object],[object Object]

Assess End Organ Damage ,[object Object],[object Object],[object Object],[object Object]

Iv Fluid resuscitation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Higher level targets ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mr W ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Applying the sepsis 6.... ,[object Object],Yes – temp 39, Pulse 120 +, RR >20. Is this septic shock? Yes – SBP 70 in a hypertensive. Is this severe? Yes – cap refill, confused, ?UO Initial recognition was poor and fluid input was suboptimal, especially as SBP sliding overnight. With initial fluid boluses he received 2.5l of fluid and SBP improved to 110. However, later that day he deteriorated again & SBP dropped again.

What happened? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The role of MHDU – a discussion. ,[object Object],[object Object],[object Object],When to step up care? To line or not to line? Straight to ITU?? Should there be an MHDU policy? Central venous O 2 Sats on HDU?

Resources ,[object Object],[object Object],[object Object],[object Object],Its up to MHDU how much this is taken on, but I think you have a role in spreading knowledge as well as in providing the care!

Sepsis & Medical Hdu

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