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Print Only Selected Items Print All Authorization is hereby given to dispense the Generic or Chemical equivalent unless otherwise indicated with the words “DO NOT SUBSTITUTE” DIAGNOSIS: Suspected
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How to fill out diagnosissuspected severe sepsis

How to fill out diagnosissuspected severe sepsis:
01
First, gather the necessary patient information such as their age, sex, medical history, and presenting symptoms.
02
Use diagnostic tools to assess the patient's vital signs including heart rate, respiratory rate, blood pressure, and temperature.
03
Take blood samples for laboratory tests such as a complete blood count (CBC), blood cultures, and arterial blood gases to evaluate the patient's infection markers and organ function.
04
Collect a urine sample for urinalysis and culture to check for any urinary tract infections that could be contributing to the sepsis.
05
Consider obtaining imaging studies like a chest X-ray or ultrasound to evaluate for possible sources of the infection, such as pneumonia or an abdominal abscess.
06
Fill out the diagnosissuspected severe sepsis form accurately, providing all the necessary information based on the patient's clinical presentation and diagnostic results.
Who needs diagnosissuspected severe sepsis:
01
Patients who exhibit signs of severe infection, such as high fever, rapid heart rate, low blood pressure, and altered mental status, warrant a diagnosis of suspected severe sepsis.
02
Individuals with a weakened immune system, such as those with HIV, undergoing chemotherapy, or organ transplant recipients, are at higher risk for severe sepsis and require prompt diagnosis.
03
Patients who have recently undergone surgery or have indwelling medical devices like catheters or ventilators are susceptible to infections that can progress to severe sepsis, and thus, need a suspected severe sepsis diagnosis.
Remember, diagnosissuspected severe sepsis should be based on a thorough evaluation of the patient's clinical condition and confirmed by appropriate diagnostic tests to ensure timely and accurate treatment. Always consult a healthcare professional for specific guidance.
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