**KNOW YOUR SEPSIS PROTOCOL**ALL ANSWERS CAN BE FOUND IN THE SEPSIS PROTOCOL
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Horizontales
Not technically written in the protocol: ______ Sepsis Protocol is when a regular triple lumen central line is used instead of the Edwards/Scvo2 catheter.
If the patient has an _____/Scvo2 central line, a VBG needs to be done every am to recalibrate the Scvo2 machine/Vigilio.
Bulleted MD _____ are Hospitalist and Infectious Disease doctors.
1-3 Hour Bundle: Repeat serum _____ level every 2 hours x 2.
1-3 Hour Bundle: Broad _____ antibiotics to be administered within 3 hours of "Time Zero".
_____ Goal: When MAP > 65, achieve desired ScvO2.
Second Goal: When CVP>8 (>12 on vent), MAP <65... Initiate _____ @ 4 mcg/min and titrate per unit protocol to achieve target MAP 65-95.
_____ Goal: When CVP in range, then achieved desired MAP.
Third Goal: When CVP>8 (>12 if on vent), MAP 65-95 and Scvo2 <70%.... If hematocrit > 30%, initiate _____ @ 2.5 mcg/kg/min.
Third Goal: When CVP>8 (>12 on vent), MAP 65-95 and Scvo2 <70%...If _____ is < 30% transfuse 1 unit of PRBCs every hour until _____ is > 30%.
Verticales
At the start of Sepsis Pathway...Obtain _____ for central line insertion and blood transfusion, in case needed.
Maintence Orders: If blood _____ is > 180 and not already on insulin, then contact MD regarding placing on insulin sliding scale or drip.
_____ Panel consists of: Chem 14, CBC, Lactate, Peripheral vein blood cultures (2 sets), CXR, Urine Culture and Urine analysis. *Repeat Lactic every 2 hours x 2.
Sepsis Pathway Orders are NOT _____ in acute pulmonary edema, cardiac dysrhythmias (resulting in cardiac dysfunction), burn injury or restricted by advance directive.
Target CVP is 8-12 for a spontaneously breathing patient or 12-15 if patient is on a _____.
Second Goal: When CVP>8 or >12 on a vented patient and MAP >95 = Call MD for _____ reduction.
____ Goal: Maximize fluids to achieve desired CVP.
You should _____ your CVP transducer atleast every 8 hours.
First Goal: NS 500 ml _____ every 10-15 min until target CVP met.
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