Fever/Sepsis — Adult Pearls
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22 Terms
What demographic history is obtained in fever/sepsis?
Age.
What timing history is obtained for fever?
Duration of fever.
What fever detail besides duration is obtained?
Severity of fever.
What general history item is obtained in fever/sepsis?
Past medical history.
What drug history is obtained in fever/sepsis?
Medications.
What immune status is asked about in fever/sepsis?
Immunocompromised.
What surgical history makes a patient immunocompromised in sepsis history?
Transplant.
What viral illness makes a patient immunocompromised in sepsis history?
HIV.
What endocrine disease makes a patient immunocompromised in sepsis history?
Diabetes.
What malignancy history makes a patient immunocompromised in sepsis history?
Cancer.
What exposure history is obtained in fever/sepsis?
Environmental exposure.
What antipyretic history is obtained in fever/sepsis?
Time of last acetaminophen or ibuprofen.
What low temperature meets SIRS criteria?
Less than 96.3°F.
What high temperature meets SIRS criteria?
Greater than 100.4°F.
What heart rate meets SIRS criteria?
Greater than 90 bpm.
What respiratory rate meets SIRS criteria?
Greater than 20 per minute.
What WBC count meets SIRS criteria?
Greater than 12,000.
How many SIRS criteria are needed for Code Sepsis?
Two or more.
What must accompany SIRS criteria to call Code Sepsis?
A suspected infection.
Who is notified of a Code Sepsis?
The ED.
What is key in treating septic shock?
Fluid resuscitation.
What must the receiving facility be told about fluids in sepsis?
The exact fluid bolus given.