Summary: Discuss how the patient with Sepsis has their care continued in the ICU! -Start pressors with IVF (30-40cc/kg). NE at 7mcg/min peripherally can always be stopped. -If low BP, Increase NE until at 20mcg/min, then add a 2nd pressor (Vasopressin @ 0.03units/min and 100mg Hydrocortisone Q8h). -Start abx early. Identify source. CXR, US lungs/abd, UA, CT abd? -Procalcitonin is helpful for stopping abx. Doesn’t change ED treatment. -Don’t order Vitamin C or thiamine in ED. -by Travis Barlock, MD
