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STOP SEPSIS:

SAVE LIVES
PRESENTED BY: MARYKUTTY JOSE & SUJI CHACKO
Introduction to Sepsis
 One of the hematologic oncologic
emergencies is sepsis. As a rehab unit,
we often get hematologic patients, so
it is very important to know the risk
factors, signs, symptoms, and
management of sepsis.
Risk Factors
1. Recent surgical procedure
2. History of Diabetes Mellitus
3. Immunocompromised patients (eg. Recent antineoplastic treatment, steroids)
4. Concurrent immunosuppressive diseases
5. Urinary Tract Infections
6. Skin wound
7. Invasive device (Central line, Foley catheter, drains)
8. Infiltrate on chest x-ray
9. Cough with sputum production
10. Age over 65
11. Pure nutritional status
12. Hospitalization
Review MD Anderson’s Adult Sepsis
Management algorithm
Nursing Management Continued

 Prevention of infection in neutropenic patients


 Intervention to educate patient and caregivers on infection control
- Hygiene: hand hygiene, oral, perianal
- Environmental restrictions (monitor temp at home)
- Promote hygiene (perineal care)
 Intervention to provide emotional support to patients and
caregivers
- Assess current coping strategies and encourage use
- Provide supportive resources
Conclusion

Prevention is better than cure. Sepsis and septic shock can affect a
patient at any moment. It is important to recognize it in an early stage.
As our oncologic patients are immunocompromised, it is essential to
identify and prevent it in an early stage.

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