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    The patient presented with a 3-week history of fatigue, fever, and malaise. Current vital signs showed tachycardia, hypotension, fever, and decreased oxygen saturation. The patient's symptoms, including dizziness and pale diaphoresis, indicated hypotensive shock and sepsis. The proposed interventions were to start IV fluids to treat the hypotension, obtain blood cultures to rule out bacterial infection, and administer antibiotics preemptively for possible sepsis. Outcomes would be evaluated by monitoring the patient's blood pressure response to fluids, waiting for blood culture results, and tracking fevers.

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    The patient presented with a 3-week history of fatigue, fever, and malaise. Current vital signs showed tachycardia, hypotension, fever, and decreased oxygen saturation. The patient's symptoms, including dizziness and pale diaphoresis, indicated hypotensive shock and sepsis. The proposed interventions were to start IV fluids to treat the hypotension, obtain blood cultures to rule out bacterial infection, and administer antibiotics preemptively for possible sepsis. Outcomes would be evaluated by monitoring the patient's blood pressure response to fluids, waiting for blood culture results, and tracking fevers.

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    74 views1 page

    CJM Sepsis

    Uploaded by

    api-688564858
    The patient presented with a 3-week history of fatigue, fever, and malaise. Current vital signs showed tachycardia, hypotension, fever, and decreased oxygen saturation. The patient's symptoms, including dizziness and pale diaphoresis, indicated hypotensive shock and sepsis. The proposed interventions were to start IV fluids to treat the hypotension, obtain blood cultures to rule out bacterial infection, and administer antibiotics preemptively for possible sepsis. Outcomes would be evaluated by monitoring the patient's blood pressure response to fluids, waiting for blood culture results, and tracking fevers.

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    Clinical Judgment Model Concept Map

    Title: _Recognizing Sepsis vSimulation_ Name:_Brittany Ferreira_ Date:__21/09/23___


    Recognize Cues • History of fatigue, fever and malaise for 3
    Filter information from different weeks (temps 101-104F)
    sources (eg: signs, symptoms, medical • Pale, diaphoretic
    history, etc) • BP – 113/80, Temp – 101F, HR – 110,
    SpO2 – 95%, RR – 18, 0/10 pain
    • Dizziness
    • Concentrated tea-coloured urine output
    • BP – 99/60, HR – 130, Temp – 102.5F
    Analyze Cues • BP is low (hypotensive), HR is high
    Organizing and linking the recognized (tachycardic), he is febrile
    cues above to step to the client’s clinical • HR is most likely elevated because of the
    presentation. Candidates should fever and to compensate for the dropping
    establish probable client needs, blood pressure
    concerns, or problems. • Dizziness is due to the hypotension
    • Pallor and diaphoresis most likely due to the
    fever and hypotension, no perfusing well
    Prioritize Hypothesis • Hypotensive shock
    Evaluating and ranking hypotheses • Sepsis
    according to priority (urgency, • SIRS
    likelihood, risk, difficulty, time, etc.)
    Generate Solutions • Patient needs PIV access for IV fluid
    Identifying expected outcomes and administration for hypotension to avoid
    using hypotheses to define a set of further decompensation
    interventions for the expected outcome • Blood cultures will be needed to rule out
    bacterial infection (sepsis)
    • Due to his history of prolonged
    fevers/fatigue/malaise, and current
    presentation of hypotension, tachycardia and
    being febrile, antibiotics should be started in
    case of sepsis.
    Take Action • Start PIV access to administer fluid bolus to
    Implementing the solution(s) that help increase blood pressure
    addresses the highest priorities. • Take blood cultures (and other necessary
    Important to recognize that sometimes bloodwork like CBC, electrolytes, etc)
    no action is an action itself • Give first dose of IVF antibiotics
    Evaluate Outcomes • After fluid bolus, assess blood pressure (did
    Comparing observed outcomes against it increase, stay the same, or decrease
    expected outcomes further?)
    • Wait for blood culture results to come back
    • Monitor fevers

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