Sepsis Protocol

[text name="variable_1" default="sample text"]
3 HOUR INITIAL RESUSCITATION BUNDLE: 
Sepsis Risk Protocol GV#1277 for the following orders:
a.  Notify provider  
b.  Stat labs: Lactic Acid, CMP, CBCM, PT INR if not done in past 6 hours 
c.  Obtain blood cultures x 2 
d.  Obtain UA 
e.  Broad spectrum antibiotic for administration within 3 hours of presentation if not already given in the prior 3 hours. 
f.   For hypotension (SBP less than 90 mmHg) OR initial lactic acid level greater than or equal to 2mmol-kg, order 0.9% Sodium Chloride bolus (a total of 30mL-kg) for administration within 3 hours.
g. Focused exam to include vital signs, cardiopulmonary, capillary refill, pulse and skin findings
_________________________________________________________________________ 
6 HOUR SEPTIC SHOCK BUNDLE (Sepsis-induced hypotension OR lactic acid greater than 4mmol-kg)  
a.   Vasopressor for hypotension that does not respond to the fluid bolus to maintain MAP greater than or equal to 65mmHg for administration within 6 hours of presentation of shock 
b.   Focused exam to include vital signs, cardiopulmonary, capillary refill, pulse and skin findings 
c.   Repeat lactic acid level within 4 hours of initial lactate if greater than or equal to 2mmol-kg

3 HOUR INITIAL RESUSCITATION BUNDLE:
Sepsis Risk Protocol GV#1277 for the following orders:
a. Notify provider
b. Stat labs: Lactic Acid, CMP, CBCM, PT INR if not done in past 6 hours
c. Obtain blood cultures x 2
d. Obtain UA
e. Broad spectrum antibiotic for administration within 3 hours of presentation if not already given in the prior 3 hours.
f. For hypotension (SBP less than 90 mmHg) OR initial lactic acid level greater than or equal to 2mmol-kg, order 0.9% Sodium Chloride bolus (a total of 30mL-kg) for administration within 3 hours.
g. Focused exam to include vital signs, cardiopulmonary, capillary refill, pulse and skin findings
_________________________________________________________________________
6 HOUR SEPTIC SHOCK BUNDLE (Sepsis-induced hypotension OR lactic acid greater than 4mmol-kg)
a. Vasopressor for hypotension that does not respond to the fluid bolus to maintain MAP greater than or equal to 65mmHg for administration within 6 hours of presentation of shock
b. Focused exam to include vital signs, cardiopulmonary, capillary refill, pulse and skin findings
c. Repeat lactic acid level within 4 hours of initial lactate if greater than or equal to 2mmol-kg

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 1 form elements, 172 boilerplate words, 1 text boxes, 1 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

Your email address will not be published. Required fields are marked *

More SOAPnotes by this Author: