Surviving Sepsis – Cyndi Zarbano

The campaign continues but, after two years, what have we learned? Are the new measures making a difference in patient outcomes? In this session, we will take a look at the evidence and what comes next.

• Sepsis Bundles
• Pathway of Care
• Initial Resuscitation
• Infection Issues
• Adjunctive Therapy
• Financial Impact
• Education

Objectives

1. Identify evidence-based practices that prevent sepsis.
2. Describe the nurse’s role in assessment of the patient experiencing SIRS, sepsis or septic shock.
3. Discuss current management strategies for the patient with sepsis.

Outline

• Sirs, Spesis, Septic Shock, and MODS
• Inflammatory Injury
  • The Ripple Effect of Inflammation
  • Systemic Inflammatory Response Syndrome (SIRS)
• Sepsis
  • New Tool for Sepsis Used Instead of Apache Score
    • SOFA — 6 Criteria
      • Respiratory Status and Intrapulmonary Shunting
      • Coagulation Status
      • Liver
      • Cardiovascular
      • Neurological Functioning
      • Kidney Function
  • Epidemiology
  • Common Causes of Sepsis
  • Case Study
  • Surviving Sepsis Campaign
• Multiple Organ Dysfunction Syndrome (MODS)
• Inflammatory Mediators
  • Cytokines
    • Systemic Effects of Cytokines
• Labs and Sepsis
  • Lactate
  • Procalcitonin
  • Base Deficit
  • Anion Gap
  • Cultures
  • WBC’s
• Choosing Antibiotics
  • How do they work?
  • Bactericidal vs. Bacteriostatic
• Treatment of Sepsis