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Begin administration of NS or Lactated Ringers 30ml/kg for hypotension or lactate 4mmol/L 1. Repeat Lactate level if initial lactate was 2 2. Crystalloid fluid administration must 3. Repeat Focused Exam SEPSIS ALERT This is our CMH Sepsis Alert Initiate form when a patient has a determined infection AND Two SIRS is a permanent record for the patient s chart Step 1 Complete the Suspected or Known Source of Step 2 Determine If temperature pulse respirations WBC Bands or SBP meet SIRS criteria...
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How to fill out severe sepsis and
01
To fill out severe sepsis, follow these steps:
02
Begin by gathering the necessary patient information, including their medical history, current symptoms, and any potential risk factors for sepsis.
03
Assess the patient's vital signs, such as heart rate, blood pressure, respiratory rate, and temperature.
04
Perform a thorough physical examination to identify any signs or symptoms of sepsis, such as abnormal lung sounds, elevated heart rate, or changes in mental status.
05
Collect relevant laboratory tests, including complete blood count (CBC), blood cultures, and any other diagnostic tests your healthcare facility may require.
06
Use the gathered information to determine if the patient meets the criteria for severe sepsis, which typically includes evidence of infection, organ dysfunction, and systemic inflammation.
07
Document all findings, including the identified source of infection, organ dysfunction, and any interventions or treatments provided.
08
Ensure clear communication with the healthcare team to outline the severity of the sepsis and develop an appropriate management plan.
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Continuously monitor the patient's condition and response to treatment, making necessary adjustments as required.
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Regularly reassess the patient for any changes in clinical status or complications related to sepsis.
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Properly code and document the diagnosis of severe sepsis for accurate billing and medical records.
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Remember, it's crucial to follow your healthcare facility's guidelines and protocols when documenting severe sepsis.
Who needs severe sepsis and?
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Severe sepsis can affect individuals of all ages and backgrounds, but certain populations may be more vulnerable. These include:
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- Elderly adults: The risk of severe sepsis increases with age as the immune system weakens.
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- Individuals with weakened immune systems: People with conditions like HIV/AIDS, cancer, or those on immunosuppressive medications are at higher risk.
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- Patients with chronic illnesses: Conditions such as diabetes, kidney disease, or liver disease can impair the body's ability to fight infections.
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- Individuals with invasive medical devices: Patients with central lines, urinary catheters, or ventilators have an increased risk of developing infections that may lead to severe sepsis.
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- Post-surgical patients: Surgical procedures can introduce infections, especially if proper preventive measures are not followed.
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- Individuals with a history of frequent hospitalizations or healthcare-associated infections: These individuals may have a higher risk due to repeated exposure to healthcare settings and potential for antibiotic-resistant bacteria.
08
It's important to remember that severe sepsis can occur in anyone, and timely recognition and treatment are critical to improve outcomes and reduce mortality.
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What is severe sepsis and?
Severe sepsis is a serious condition caused by the body's response to an infection.
Who is required to file severe sepsis and?
Healthcare providers are required to file severe sepsis and.
How to fill out severe sepsis and?
Severe sepsis and must be filled out with relevant patient information and clinical data.
What is the purpose of severe sepsis and?
The purpose of severe sepsis and is to track and monitor cases of severe sepsis for public health purposes.
What information must be reported on severe sepsis and?
Information such as patient demographics, infection details, and clinical outcomes must be reported on severe sepsis and.
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