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Anna

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Sepsis – ingen tid å miste

Tina Nilsen, anestesiavdelingen

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Definisjon

Sepsis: systemisk

inflammatorisk reaksjon på infeksjon, pga. dysregulert

vertsrespons

Septisk sjokk: sepsis med organdysfunksjon med vedvarende hypotensjon til tross for væsketilførsel, der behov for vasopressorer for opprettholdelse av MAP > 65 og

der laktat er > 2.

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Tina Nilsen, anestesiavdelingen

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Tina Nilsen, anestesiavdelingen

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Tina Nilsen, anestesiavdelingen

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• Empirisk, bredspektret, flere

60 min

• Pasientens tilstand

• Dyrkningsprøver hvis mulig- send med

• Antibiotika

Lang

reisevei?

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Tina Nilsen, anestesiavdelingen

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Hver time forsinkelse…

7 % økt mortalitet

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Tina Nilsen, anestesiavdelingen

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Take home

message

Tina Nilsen, anestesiavdelingen

Tenk sepsis

BT, puls, spO2, temperatur og RR

ABCDE med fortløpende tiltak

Revurder

Dyrkningsprøver + evt. antibiotika

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Kilder:

• «Poor performance of quick SOFA score in prediciting severe sepsis and mortality- a prospective study of patients admitted with infection to the emergency department» Å.

Askim, F. Moser m.fl. Publ. Scandinavian journal of trauma, resuscitation and emergency

medicine, 2017, 25:56

• Surviving Sepsis Campaign Guidelines 2016

• Helsedirektoratet sepsis retningslinje

• Legemiddelhåndboken

• https://www.helsetilsynet.no/globalassets/uplo ad/Publikasjoner/rapporter2018/helsetilsynetra pport1_2018.pdf/

• https://sykepleien.no/2017/03/dodsarsaksregiste ret-gjemmer-bort-sepsistallene

Tina Nilsen, anestesiavdelingen

Referanser

Last ned nå ( PPTX - 16 sider - 2.91 MB )

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