Pneumonia and Sepsis By Oliver Putt and Priyanca Patel For WMS Peer Support – 11 th November 2014.
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Transcript of Pneumonia and Sepsis By Oliver Putt and Priyanca Patel For WMS Peer Support – 11 th November 2014.
SIRSSystemic Inflammatory
Response Syndrome
It is not a diagnosis but the body’s response to an unknown pathogenic process
Your patient is not feeling well
Severe SepsisSepsis with
organ dysfunction
You patient is not feeling well, you know why and now their body is struggling to cope
The Sepsis SixWithin 1 hour of
suspecting sepsis you must implement the sepsis six care bundle
Take 3
Give 3
Pathogens of pneumoniaCommunity
acquired:Influenza virusStreptococcus
pneumoniae
Hospital acquired:Staphylococcus
aureus
Investigations for pneumonia
Peak expiratory flow rate (PEFR)
Full blood count (FBC)
Urea & electrolytes (U&Es)
C-reactive protein (CRP)
LactateArterial blood gases
(ABGs)Chest radiograph
(CXR)Nose & throat
swabs : for viral investigations (PCR tests)
Sputum
Treatment of pneumoniaCommunity
acquired:AmoxicillinClarithomycin
Hospital acquired:Piperacillin -
tazobactam
CURB - 65Confusion
Urea >7mmol/l
Respiratory rate >30/min
Blood pressure<90mmHg
(systolic) <60mmHg
(diastolic)
65 years or older