Changes

Sepsish

728 bytes added, 13:26, 23 November 2017
no edit summary
A person who presents to ED with a fever, tachycardia and is treated with broad spectrum antibiotics only to be sent home with a viral illness 1 hour later can be safely diagnosed as having sepsish[[File:Sepsis Steps.png|400px|thumb|right]]
The risk factors may A person who presents to the [[Emergency Room|ED]] with a fever, tachycardia, and treated with [[Tobramycin|broad-spectrum antibiotics]] only to be useful in identifying sent home with a viral illness 1 hour later can be safely diagnosed as having '''sepsish:.'''
1. Acute onset 1-2 days of feeling a bit bad
2. Unable to get appointment with GP/Family doctor
3. Patient 'too ill to take paracetamol'
4. All over body pains, possibly complains of burning all over
5. Urine more yellow than usual
6. 'Worse i've ever felt!' - take this seriously
'''Risk Factors'''----There are several risk factors to '''sepsish''': #Acute onset 1-2 days of feeling a bit bad#Unable to get appointment with GP, PCP, or family doctor #Patient "too ill to take [[Tylenol (Acetaminophen)|paracetamol]]"#All over body pains, possibly complains of burning all over #[[Spin the Pee|Urine]] more yellow than usual#The complaint of "Worse I've ever felt!"- Take this seriously  '''Management'''----Always manage using the following '''sepsish ''' six -step protocol:1. #Antibiotics, [[Abnormal Saline|fluids ]], and IV paracetamol should always be initiated based on triage nurse observations. Do not wait for a doctor to review clinically.2. #Ensure patient is managed in majors: it's important to reinforce the notion that this is a [[Paper Cut|major illness ]] early on.3. #If the patient has an obvious history of gastroenteritis, they may be suffering from Tazocin deficiency - do . Do not hold back on the IVs.4. #Ensure that they are accompanied by an anxious partner or relative who can helpfully suggest things like ' how "How do you know it's not meningitis'?"<ref>[http://gomerblog.com/2014/08/family-member/ RN Relieved to Find Out That Patient’s Family Member’s Aunt is a Nurse (Gomerblog)]</ref>5. #If you suspect manflu then involve ITU early and liaise with the tertiary centre for manflu for a bed on their ward.6. #It's important that you treat the patient dismissively when the blood results come back negative, in fact try not to see them - get . Get the nurse to [http://gomerblog.com/2013/11/icu-patient/ disconnect all the wires ] and say they can go home with lemsipLemsip.  '''Related Topics'''----* [[C. diff]]* [[Chipotle Mexican Grill]]* [[Flagyl (Metronidazole)]]* [[MRSA]]* [[Sticker Shock]]* [[Tobramycin]]* [[Vancomycin]]* [[Zosyn (Piperacillin-Tazobactam)]]  '''References'''----<references />
[[Category:Emergency Medicine]]
[[Category:Infectious Diseases]]
[[Category:Critical Care]]