Notes in Paediatric Sepsis

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Published	10/08/2024	{{c1::Septic shock}} is diagnosed when sepsis has lead to cardiovascular dysfunction.
Published	10/08/2024	Septic shock should be treated aggressively with {{c1::IV fluids}} to improve the blood pressure and tissue perfusion.
Published	10/08/2024	in Septic Shock, if IV fluid boluses fail to improve the blood pressure and lactate level: {{c1::inotropes}} (e.g. {{c1::noradrenalin}}) can be c…
Published	10/08/2024	all infants under 3 months with a temperature of 38oC or above need to be treated urgently for {{c1::sepsis}}, until proven otherwise.   …
Published	10/08/2024	Further Management of Sepsis   Continue antibiotics for {{c1::5 – 7 days}} if a bacterial infection is suspected or confirmed. Con…
Published	10/08/2024	Pathophysiology of Sepsis macrophages, lymphocytes & mast cells -> release {{c1::cytokines (IL & TNF)}} ->…
Published	10/08/2024	Septic Shock Arterial blood pressure {{c1::falls::increases/falls?}}, resulting in organ {{c1::hypo- perfusion}}. This leads to a rise&…
Published	10/08/2024	Signs of Sepsis:• Deranged physical observations• Prolonged {{c1::capillary refill time}} • Fever or {{c1::hypothermia}}• Deranged behaviour• Poo…
Published	10/08/2024	Risk Assessment for SEPSIS {{c1:: ABCDE assessment!}}Other concerning signs: such as {{c1::fever > 5 days, non blanching rash, seizures o…
Published	10/08/2024	Immediate Management of Sepsis • Give {{c1::oxygen}} if the patient has evidence of shock or oxygen saturations <94%• Obtain {{c1::IV access (…
Published	10/08/2024	Further Investigations of Sepsis  • {{c1::Chest xray}} if pneumonia is suspected• {{c1::Abdominal and pelvic ultrasound}} if …
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