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What is the priority assessment for a patient with suspected sepsis? Pending Review
Asked on Mar 19, 2026
Answer
In a patient with suspected sepsis, the priority assessment is to evaluate vital signs, particularly focusing on temperature, heart rate, respiratory rate, and blood pressure, as these can indicate systemic infection and hemodynamic instability. Early identification and management of sepsis are crucial to prevent progression to severe sepsis or septic shock.
Example Nursing Steps:
- Step 1 – Assess vital signs, noting any fever, tachycardia, tachypnea, or hypotension.
- Step 2 – Obtain blood cultures and initiate broad-spectrum antibiotics as per protocol.
- Step 3 – Monitor response to treatment, reassess vital signs frequently, and document findings.
Additional Comment:
- Sepsis is a life-threatening condition that requires prompt recognition and intervention.
- Use the "Sepsis Six" bundle: oxygen, blood cultures, IV antibiotics, IV fluids, lactate measurement, and urine output monitoring.
- Prioritize ABCs: Airway, Breathing, Circulation, especially if the patient shows signs of shock.
- Communicate findings to the healthcare team immediately to escalate care if needed.
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