Making Sepsis Sixy

The patient is in respiratory isolation due to the possibility of COVID19. Staff are wearing appropriate personal protective equipment and swabs have been taken. The nurse has cannulated, taken cultures and a blood gas, and started him on oxygen through a non-rebreather mask.

Other than the above, list two “Sepsis Six” management steps you would initiate within the first hour

1 mark (half mark for each point)

This is his chest radiograph, describe the pathology shown

1 mark

Despite intravenous fluid resuscitation and antibiotic administration, after one hour in the department the patient’s respiratory rate is 36, saturations 97% on 35% O2 and blood pressure is 88/52mmHg. A urinary catheter is being inserted.

State two management steps you should now initiate

1 mark (half mark for each point)