Morning Report

Morning Report: Sepsis

Resident Presenter: Jordan Treworgy PGY-2

Summary: 82 yo female with weakness and 3 falls in the last day. Previously well and ambulating without difficulty. Found to be uroseptic on u/a. Patient was placed on sepsis protocol and expired the next day as a DNR per husband and son.

Learning Points:

  • Documentation must include 5 things: Timestamp, blood cultures x2 prior to antibiotics, Lactate x2, 30cc/kg bolus withing 3 hours from the time septic.
  • Antibiotics must be listed as hung by nursing within 3 hours (you will be dinged!)
  • Bolus must be listed as given within the three hours regardless of comorbidities and actual weight to be used with no upper limit.

EBM Article:

http://www.survivingsepsis.org/sitecollectiondocuments/protocols-sepsis-treatment-stony-brook.pdf

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