【持续性肾脏替代治疗CRRT英文精品课件】Reducing Mortality from Severe SepsisSeptic Shock A Plan That Can Work for You!.pptVIP

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2018-06-08 发布于贵州
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【持续性肾脏替代治疗CRRT英文精品课件】Reducing Mortality from Severe SepsisSeptic Shock A Plan That Can Work for You!.ppt

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【持续性肾脏替代治疗CRRT英文精品课件】Reducing Mortality from Severe SepsisSeptic Shock A Plan That Can Work for You!

Reducing Mortality from Severe Sepsis/Septic Shock: A Plan That Can Work for You! Nicki Roderman, RN, MSN, CCRN December 5, 2008 Medical Center of Plano, Clinical Nurse Specialist for Critical Care Objectives List common identifying factors of the patient with severe sepsis/septic shock Discuss the nursing-directed care necessary for implementing goal-directed therapy for severe sepsis or septic shock Discuss resources necessary for a successful sepsis program Medical Center of Plano 427-bed community, for profit hospital Magnet Certified JCAHO Certified: Stroke, MI, CHF 36-bed adult ICU Hospitalist program Medical Center of Plano 44-bed Emergency Department ~50,000 admissions/year Level III Trauma Center Chest Pain II Accredited Medical control for city FD Board certified Emergency Medicine ED physicians 100% ED Nursing Staff Trauma Certified for adult pediatrics U.S. Leading Causes of Death (2005) Heart disease 652,091 Cancer 559,312 Stroke 143,579 Chronic lower respiratory 130,933 Accidents 117,089 Diabetes 75,119 Alzheimers 71,539 Influenza + pneumonia 63,001 Nephritis 43,091 Septicemia 34,136 Evidence-Based Medicine STEMI, Door to Balloon, MI/CHF disease certification GTWG/Stroke disease certification Trauma certification Diabetes care, tight glycemic control, disease certification ~Practice Guidelines~ Alcohol Withdrawal Have you felt you ought to cut down on your drinking? Have people annoyed you by criticizing your drinking? Have you felt bad or guilty by your drinking? Have you ever had a drink first thing in the morning? Was this to steady your nerves, get rid of a hangover, or to get the day started? Have you ever had a problem with drinking? When did you have your last drink? CAGE-AID Questionnaire: Society of Teachers of Family Medicine Sepsis Statistics 10th leading cause of death overall (US)1 New cases in the US annually: 750,0001,2 Mortality3: Severe sepsis 30%-50% Septic shock 50%-60% Sepsis accounts for ~1,400 deaths worldwide ever