stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Inflammation and Sepsis Part 5: Nursing role in care for pts with sepsis Flashcards | StudBud
Explore
/
Inflammation and Sepsis Part 5: Nursing role in care for pts with sepsis
Inflammation and Sepsis Part 5: Nursing role in care for pts with sepsis
20 terms
·
StudBud Administration
·
8 plays
Imported from external platform
Flashcards
20 cards
F
Practice quiz
P
Host live
L
Questions
20
Answers
1
Inadequte fluid resuscitation targeted education/solutions
Consult with the pharmacy team to ensure timely drug administration
...Suspended& process to check infusion when pts return from procedure/test
...monitoring and care during busier hours
Develop a team-based approach so nursing leadership members assist w pt...
Develop a method for communicating w staff when fluids need to be...
2
Elimination of the original site of infection involves
Physically remove if we can
Surgical removal or drainage of abscesses and biofilms
3
Poor communication regarding change in pts status targeted education/solutions
...Specifically for pts moving from the ED to the floor
Develop enchanced education; improve knowledge of risks, sepsis recognition
Develop & implement a defined protocol for lactate rescreening...
Develop and implement standardized sepsis screening tols & tx protocol
...that there's a sepsis pt to expedite tx of that pt
Implement sepsis tool/+ sepsis screen form to communicate w charge nurse...
4
5th Step:
Apply vasopressors if hypotensive during or after fluid resescitation to maintain a MAP ≥ 65 mmHg
False
True
5
**WE SOMETIMES FORGET THAT IN THIS MOMENT THE BODY WILL ONLY GIVE BLOOD TO THE MOST IMPORTANT ORGAN**
False
True
6
Delay in recognition of sepsis targeted education/solutions
Develop and implement standardized sepsis screening tols & tx protocol
...Specifically for pts moving from the ED to the floor
Develop enchanced education; improve knowledge of risks, sepsis recognition
...that there's a sepsis pt to expedite tx of that pt
Develop & implement a defined protocol for lactate rescreening...
Implement sepsis tool/+ sepsis screen form to communicate w charge nurse...
7
Poor communication regarding change in patient status barrier/contributing factor
Fluids disconnected when pts away for test or during admin of meds
Patient movement between floors during time of draw
Nursing staff doesn't recognize when the pt has met the sepsis criteria
Lack of staff availability to adminster medications
Hesitation to call physician regarding possible sepsis or recommend tx
8
Inadequate fluid resusitation barrier/contributing factor
Nursing staff doesn't recognize when the pt has met the sepsis criteria
Hesitation to call physician regarding possible sepsis or recommend tx
Lack of staff availability to adminster medications
Patient movement between floors during time of draw
Fluids disconnected when pts away for test or during admin of meds
9
Delay in or failure to measure lactate level targeted education/solutions
Develop enchanced education; improve knowledge of risks, sepsis recognition
...that there's a sepsis pt to expedite tx of that pt
Develop and implement standardized sepsis screening tols & tx protocol
Develop & implement a defined protocol for lactate rescreening...
Implement sepsis tool/+ sepsis screen form to communicate w charge nurse...
...Specifically for pts moving from the ED to the floor
10
Supportive therapy for organ dysfunction + calm down from inflammatory response
Dialysis
Mechanical ventilation
11
Delay or no antibiotic administration targeted education/solutions
...Suspended& process to check infusion when pts return from procedure/test
...monitoring and care during busier hours
Develop a team-based approach so nursing leadership members assist w pt...
Consult with the pharmacy team to ensure timely drug administration
Develop a method for communicating w staff when fluids need to be...
12
Delay in or filure to measure lactate level barrier/contributing factor
Fluids disconnected when pts away for test or during admin of meds
Lack of staff availability to adminster medications
Patient movement between floors during time of draw
Nursing staff doesn't recognize when the pt has met the sepsis criteria
Hesitation to call physician regarding possible sepsis or recommend tx
13
It is very important to recognize sepsis as soon as possible
True
False
14
Delayed or no antobiotic administration barrier/contributing factor
Lack of staff availability to adminster medications
Nursing staff doesn't recognize when the pt has met the sepsis criteria
Fluids disconnected when pts away for test or during admin of meds
Hesitation to call physician regarding possible sepsis or recommend tx
Patient movement between floors during time of draw
15
Which of the is true of the 1hr bundle??
Vasopressors and Inotropes (norepinephrine, dobutamine)
Fluid replacement + NE → improves tissue perfusion; improves BP
TAKE A PATHOGEN SAMPLE → TX WITH GENERAL ANTIMICROBIALS VIA BLOOD WORK (IV)
MEASURE LACTATE LEVEL → DON’T RESUSCITATE BASED ON THE LEVEL
16
In the first hour of all the interventions in the 1hr bundle needs to be done
False
True
17
Which of the following are included in the top 5 barriers and education/solutions for nurses
Poor communicate regarding change in patient status
Delay in or failure to measure lactate level
Delay in recognition of sepsis
Delayed or no antibiotic administration
Inadequate fluid resuscitation
18
Delay in recognition of sepsis barrier/contributing factor
Lack of staff availability to adminster medications
Fluids disconnected when pts away for test or during admin of meds
Nursing staff doesn't recognize when the pt has met the sepsis criteria
Hesitation to call physician regarding possible sepsis or recommend tx
Patient movement between floors during time of draw
19
The qSOFA tool is used to predict risk for mortality The “Hour-1 Bundle” is the most recent protocol employed:
If hypotension persists, apply vasopressors to maintain MAP >65 mmHG
Measure lactate (remeasure if >2 mmol/L)
Obtain blood cultures then administer broad spectrum antibiotics
Admin of fluids (30 mg/kg crystalloids) in the case of hypotension...
... or lactate >4 mmol/
20
Especially the GUT which can lead to tissue necrosis → Why we give enteral feeds so they stay alive and don’t shut down
False
True
