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Patient Data SEPSIS INITIAL MANAGEMENT ADULT Regional Emergency Department Bar Code Area Bar Code Area Rev: Jun. 07, 2011 Page: 1 of 2 DRUG & FOOD ALLERGIES Bullets are active orders. Cross out orders
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How to fill out sepsis initial management

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How to fill out sepsis initial management:

Promptly recognize suspected or confirmed sepsis in patients:

01
Monitor vital signs, paying close attention to signs of infection such as fever, tachycardia, and hypotension.
02
Conduct a thorough physical examination to assess for signs of infection, such as localized swelling or redness.
03
Review the patient's medical history, recent procedures, and laboratory results for any signs of infection or risk factors for sepsis.

Perform diagnostic tests to confirm sepsis and determine its source:

01
Order blood culture samples to identify the causative organism responsible for the infection.
02
Collect other appropriate cultures, such as urine, sputum, or wound cultures depending on the suspected source of infection.
03
Perform blood tests, including a complete blood count (CBC) with differential, coagulation profile, liver and kidney function tests, and arterial blood gases.
04
Utilize imaging studies, such as chest X-rays or CT scans, to identify possible sources of infection or complications.

Administer appropriate empirical antimicrobial therapy:

01
Start broad-spectrum antibiotics promptly after obtaining blood cultures, usually within the first hour of recognizing sepsis.
02
Choose antibiotics based on local resistance patterns, site of infection, and patient-specific factors such as allergies or comorbidities.
03
Adjust antimicrobial therapy according to culture results and susceptibility testing.

Implement supportive measures to stabilize the patient:

01
Administer intravenous fluids to restore circulatory volume and maintain adequate perfusion.
02
Administer vasopressors if the patient remains hypotensive despite adequate fluid resuscitation.
03
Consider invasive monitoring, such as central venous or arterial catheterization, to guide volume resuscitation and hemodynamic management.

Involve relevant specialists and provide appropriate organ support:

01
Consult infectious disease specialists to help guide antimicrobial therapy and source control.
02
Involve critical care specialists for management of hemodynamic instability, respiratory support, and organ dysfunction.
03
Administer specific therapies based on the patient's condition, such as renal replacement therapy for acute kidney injury or mechanical ventilation for respiratory failure.

Who needs sepsis initial management?

Sepsis initial management is necessary for any patient suspected or confirmed to have sepsis. This includes individuals who present with signs and symptoms of infection, along with evidence of systemic inflammatory response syndrome (SIRS). Additionally, patients with risk factors for sepsis, such as recent surgeries, immunosuppression, or chronic medical conditions, should be promptly assessed and managed for sepsis.
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