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Elementer i pakken

Elementer i pakken. Bloddyrkning opnås forud for påbegyndelse af antibiotisk behandling

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Elementer i pakken

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  1. Elementer i pakken • Bloddyrkning opnås forud for påbegyndelse af antibiotisk behandling • Bredspektret antibiotika i henhold til lokal protokol skal administreres første gang højest en time efter diagnosen er stillet i et intensivt terapi afsnit eller højest 3 timer efter at diagnosen er stillet i et akut modtage afsnit eller stationært afsnit • S-laktat måling • Hvis hypotension og/eller S-laktat >4mmoI/L (36mg/dL): • - Giv mindst 20 ml/kg krystalloid (eller • kolloid ækvivalent) • - Anvend vasopressorer, hvis hypotension • ikke responderer på initial væske resuscitation. Opnå • middelarterietryk (MAP) > 65 mmHg. • 5. Hvis persisterende arterial hypotension trods væske resuscitation (septisk shock) og/eller første S-laktat >4 mmoI/L (36 mg/dl): - Opnå centralt venøst tryk (CVP) > 8 mm Hg. - Opnå central venøs iltsaturation (ScvO2)> 70%[i]. • - Opnåelse af blandet venøs iltsaturation • (SvO2) >65% eller et fald i S-lactat på > 10% er et • acceptabelt alternativ36. Logo Patientsikkert Sygehus – Lommekort – af Navn Efternavn – juni 2010

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