Screen patient #3 using the Sepsis Screening Tool

3. 55 year old with severe COPD not on home O2; no other chronic diseases

• Chief complaint of increased SOB and productive cough

• Rales and rhonchi throughout all lung fields

• Temperature = 102.6°F

• HR = 124 bpm; RR = 18 bpm; BP = 84/40 (MAP = 55 mm Hg)

• WBC =25,000; Hgb 13.0; platelet count 94,000; INR 2.4 (no anticoagulants)

• Blood sugar 156 mg/dL; crt 3.8 mg/dL (baseline 1.1), lactate 4.5 mmol/L,

• CXR = Bilateral pulmonary infiltrates

• O2 on at 4 L/min to maintain SpO2 >90%

• Confused and slow to respond (No sedatives)

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The patient's findings are suggestive of an infection.
 
 

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There are two signs and symptoms of infection present and not considered to be chronic.
 
 

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There are organ dysfunction criteria present and not considered to be chronic or a result of therapy.
 
 

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This patient met the criteria for possible severe sepsis and an MD should be notified to determine if severe sepsis is present.
 
 

 


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