An introduction to the SEPSIS pathway (detect it early and treat it early)
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- Опубликовано: 14 окт 2024
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A useful way to think about sepsis is the sepsis 6, give 3 take 3. The sepsis six are:
- Cultures (take)
- Urine output (take)
- Lactate (take)
- Antibiotics (give)
- Oxygen (give)
- Fluids (give)
Also, your standard DRABCD as mentioned in the video
One of the best whiteboard videos I’ve ever seen. Super helpful, informative and easy to follow. Fantastic drawings as well.
I was thinking about sepsis last night, and was like, i need to youtube it. As a student registered nurse, i found this video to be very helpful. You're my hero br0.
Thankyou for another excellent video Armando. Recognising and treating sepsis is extremely important due to the high morbidity and mortality aspect. Get senior help involved early, and get the speciality teams of outreach and anaesthetics/ intensivists involved as they may need HDU or ITU.
p9
A 68-year-old woman suffering from sepsis is hospitalized in the internal ward and is being treated
in antibiotics and antipyretics. During her examination this morning, she was sleepy, vital signs
Within the scope of the norm, breathing on her own, with no unusual findings on physical examination.
Suddenly the monitor beeps due to a drop in storage. The patient is tachypneic and tachycardiac.
What is the first step to be taken?
1) Connecting the patient to oxygen goggles
2) Intubation
3) Observing the oral cavity and suctioning secretions when necessary
4) Gas test to diagnose the source of distortion
Peace be to you! I'm a new subscriber! I am a Physician Assistant who currently works as a Hospitalist in Washington, D.C. Our team treats quite a bit sepsis among our patients!🤒🤕😷 I REALLY appreciated this format! Thanks so much for this review!😊❤👨🏾⚕️
How to determine if the patient who has sepsis is getting better?
@@arvinpatrickdomingo6485 Presentation (e.g. becoming more alert and lucid), vital signs (afebrile, normal heart rate and respirations) and, labs (decreased in leukocytosis/WBC wnl).🤒😑🙂👍🏾I hope that helped.👋🏽👨🏽⚕️
@@OmarAbdulMalikDHEdMPASPACPAProyou seem like a good doctor 😊. More success for you ❤
@@zayler_ Thanks. I've been a physician assistant since 2000. It's a great career!🙂👋🏽👨🏽⚕️
Can a temp of 94.0 in the evening, Sedimentation Rate of 100 and CRP of 56, also indicate sepsis? @@OmarAbdulMalikDHEdMPASPACPAPro
Fabulous explanation which struck especially because of the wonderful pictorial presentation
Nice topic and beautifully explained thank you for this video 💐
Body temperature that is unusually low needs to be considered too! It's also important to clarify AVPU is a scale from A to U, rather than multiple components.
Nobody uses AVPU. GCS score is the accepted standard.
Outstanding. I have learned so much. Best video Ive seen. Thank you
Very great sir....😍😍😍😍
Thanks a lot.....🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻🤗🤗🤗🤗🤗🤗🤗🤗❤❤❤❤❤❤😊✌🏻✌🏻✌🏻✌🏻✌🏻✌🏻✌🏻
Great illustration.
Thank you for the videos!
Loved this video. Thank you !
Excellent presentation
1.)Serum lactate - Acidosis in Blood
2.)Complete Blood Count
3.)CRP - C Reactive Protein Test
Thanks a alot for your videos - very good drawings with very good teaching!
I have although one question regarding this video - its about vital signs on sepsis patients.
Vital signs on the SIRS criteria we use Heartrate/pulse - not bloodpressure:
Temperature higher than 38°C (100.4°F) or lower than 36°C (96.8°F)
Heart rate (HR) higher than 90 beats/min
Respiratory rate (RR) higher than 20 breaths/min or arterial carbon dioxide tension (PaCO2) lower than 32 mm Hg
White blood cell (WBC) count higher than 12,000/µL or lower than 4000/µL or with 10% immature (band) forms
i have seen similar in a person with septic shock, hypoglycemia, and having a hypothermic 94.5°F temperature along with altered mental status
Actually the diagnostic criteria of sepsis have been significantly modified over the past few years and the former concept “sirs plus infections “ is out of time and NOT appropriate neither,therefore,it has been replaced by SOFA scores, these series of modifications could be summarized in a short sentence is: goodbye sirs and hello sofa
漏月疏通 Correct. Thank you for posting this. I consider sepsis one of my areas of concentration and your announcement is important for others to know.
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I would caution on the advice if giving bolus fluids without checking for fluid responsiveness. Which is defined as a 10% or more increase in stoke volume (SV). If they are not fluid responsive after giving dynamic test such as a passive leg raise or bolus the literature says they are unlikely to be responsive to additional fluids in the near term. Consider inotrope or vassopressor to support perfusion. They key is to test by measuring stroke volume. I did not see when this was published but more recent data warns of fluid overload when the heart can't push it forward.
Thank for this video I didn't know until I remember that my husband had it after he pass.
I must appreciate Doctor Ani John on RUclips for helping me and my husband in getting rid of Sepsis virus permanently after so many years in pain God sent you to save my family with your natural herbs and roots all thanks to you doctor you are a God sent keep saving lives sir I really appreciate all you have done for me and my family my God bless you richly sir🙏.
Hi! Can you do one over SIRS & MODS?
Interesting..🤔 Thank you for the information!!
Thank you !
How can i get your finished drawing shown in the videos?
I know you are using SIRS criteria but SOFA criteria is really good!
Hello, I've been diagnosed with folliculitis since 2013 caused by staphylococcus infection. I also had furnacles & fear that I may have Sepsis. I heard that this is a uncurable deadly disease & I'm afraid to die from this. I don't know what to do.
You are the best
Actually sir, u said about both neurtopenia or neutrophilia?may I know how both of these are caused in sepsis?
I must appreciate Doctor Ani John on RUclips for helping me and my husband in getting rid of Sepsis virus permanently after so many years in pain God sent you to save my family with your natural herbs and roots all thanks to you doctor you are a God sent keep saving lives sir I really appreciate all you have done for me and my family my God bless you richly sir🙏.
awesome video, quick recap!
Another great video, as usual 👏👍👌
Great video 👍🏽
Hi, where can I purchase illustration for this particular video? Thx
Amazing Armandoh!
do u have a video describing the cytokine storm?
Thank you so much >< !!!
Need more videos in Pharmacology.
My mum was hospitalised twice this year with sepsis she almost died the second time.
can i correction your video?? if hypotension appears that no sepsis.. it is shock sepsis. great video. sepsis mean if sirs + focus infection
Actually the diagnostic criteria of sepsis have been significantly modified over the past few years and the former concept “sirs plus infections “ is out of time and NOT appropriate neither,therefore,it has been replaced by SOFA scores, these series of modifications could be summarized in a short sentence is: goodbye sirs and hello sofa
thank you
Is it from Surviving Sepsis Campaign Guidline?
Hi Dr.
Thanks
Where is vasopressors and steroids ? Please add their role as well
Awesome ! Thanks
It took me several months of med school before realizing what sepsis even was 😅
racha racha, Very different for him and for you. Medical school and nursing school are different. FYI- No nursing school teaches sepsis in its entirety during the first several months AND formally tests your understanding of it. You might have known something about it, but you were not expected to, nor did you have mastery of it then. You cannot have full mastery of sepsis and its presentations until you also have the clinical experience. Be easier on Adnan. He deserves our respect.
racha racha And please don’t say, “just a nurse”. It works to discredit the exceptional nurses of the past, present and future.
Hi what is your reference for this please? Thank you
I like you drawing thank you
I must appreciate Doctor Ani John on RUclips for helping me and my husband in getting rid of Sepsis virus permanently after so many years in pain God sent you to save my family with your natural herbs and roots all thanks to you doctor you are a God sent keep saving lives sir I really appreciate all you have done for me and my family my God bless you richly sir🙏.
Awesome ❤️✅
It causes DEATH and also morbidity. My man, I think you've got the gradient of severity backwards lmbo 😆
JK, your work is amazing 👏💖
My dad expired due to sepsis
رائع
Meeting Dr IGUDIA RUclips channel was the beginning of a new life for me after using his herbs medication in curing my Sepsis disease.
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