Septic Shock Assessment
Septic Shock Assessment (1 hour post 30 ml/kg fluid bolus) Persistent hypotension not present_ Lactate > 4 not present_ Perfusion Reassessment for Septic Shock: (If central line, document SCVO2 or CVP, and skip below) Option 1: Vital signs assessed Heart exam:_ Lung exam:_ Peripheral pulses:_ Cap Refill:_ Skin:_ Option 2: Bedside ultrasound IVC:_ Fluid challenge: patient responsed by_ Septic Shock Treatment: If lactate > 4 or persistent hypotension Vasopressor: started norepinephrine_ Central line CVP_ , SCVO2_ Comfort care or refusal of treatment: No_ Critical care time _ minutes, exclusive of any procedures performed. Treatments: Emergent fluid management, while maintaining close cardiopulmonary support and monitoring. Prompt broad spectrum antibiotic therapy. Simultaneous assessment for possible sources in order to direct therapy. Consideration for invasive and chemical support to prevent respiratory or cardiac collapse.
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