Place the actions in order for an adult with probable sepsis… | MyMerci
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Illness Management

Place the actions in order for an adult with probable sepsis, a mean arterial pressure of 58 mm Hg, lactate 4.2 mmol/L, and all prescriptions available.

Ordered Response

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Administer prescribed empiric antimicrobial therapy immediately, ideally within 1 hour of recognizing probable sepsis with shock physiology
Reassess perfusion with blood pressure, mental status, urine output, skin findings, lung sounds, lactate trend, and dynamic response measures
Assess airway, breathing, circulation, perfusion, and infection likelihood; activate the sepsis huddle or emergency pathway
Administer the prescribed balanced crystalloid bolus while monitoring for response and fluid intolerance
Obtain ordered blood cultures and lactate promptly because collection will not delay antimicrobial therapy
Explanation
Recognize hypoperfusion and mobilize the sepsis pathway first. Obtain cultures and lactate before antibiotics only because they can be collected without delay. Give empiric antimicrobials immediately and begin prescribed balanced crystalloid resuscitation with close attention to fluid tolerance. Reassess repeatedly using perfusion findings and dynamic response rather than assuming a fixed volume is adequate for every client.
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