SlideShare une entreprise Scribd logo
1  sur  11
Télécharger pour lire hors ligne
Sepsis resuscitation bundle,[object Object]
Goal and Objectives,[object Object],Goal-,[object Object],To decrease mortality from severe sepsis in adults through education and implementation of evidenced-based care bundles,[object Object],Objectives-,[object Object],Recognize the signs and symptoms of sepsis,[object Object],Understand the difference between the types of sepsis; SIRS, sepsis, severe sepsis, and septic shock,[object Object],Learn the sepsis resuscitation care bundle,[object Object],Audience-,[object Object], Nurses,[object Object]
What is sepsis?,[object Object],Sepsis is a condition in which the body is fighting a severe infection that has spread via blood stream. This is characterized by a systemic inflammation response syndrome called, SIRS. The body may develop this inflammatory response to microbes in the blood, urine, lungs, skin, or other tissues. ,[object Object],There is a continuum to sepsis that includes infection, sepsis, severe sepsis, septic shock, and multiple organ dysfunction,[object Object]
Systemic Inflammatory Response Syndrome (SIRS),[object Object],Two or more of:,[object Object],Temperature >38˚C or <36˚C,[object Object],Heart rate >90 (unless taking beta-blocker, calcium channel blocker, or the heart is paced,[object Object],Respiratory rate >20 breaths/min or PaCO2 < 32 mmHg,[object Object],WBC >12,000 or < 4,000	,[object Object]
Types of sepsis,[object Object],Sepsis: ,[object Object],Two or more SIRS criteria, known or suspected infection,[object Object],Severe sepsis:,[object Object],Sepsis as above,[object Object],Organ dysfunction,[object Object],-hypotension: systolic <90 mmHg, MAP <65 mmHg, or a decrease in 40 mmHg from usual reading,[object Object],-Lactate > 4mmol/L,[object Object],-Altered mental status,[object Object],-Hyperglycemia in the absence of diabetes,[object Object],-Hypoxemia, O2 < 93%,[object Object],-UOP <0.5 ml/kg/hr and/or raised urea or creatinine ,[object Object],-Coagulopathy, INR >1.5,[object Object]
Sepsis Continued,[object Object],Septic shock:,[object Object],Severe sepsis,[object Object],Hypotension or raised lactate that does not improve with adequate fluid resuscitation,[object Object],Multiple organ dysfunction:,[object Object],Perfusion is compromised, ischemia and hypoxia of organs,[object Object],Cardiovascular-Heart Failure, Neurological- change in LOC, Pulmonary-ARDS, Renal- Acute Renal Failure, Metabolic-acidosis, Hepatic- Liver Failure, Hematologic-Disseminated Intravascular Clotting,[object Object]
Sepsis,[object Object],Identifying patients with severe sepsis in primary care, emergency departments, wards or admission units is crucial to reducing mortality,[object Object],In the severe sepsis resuscitation bundle, a time limit of six hours is given for all elements to be completed, although elements should be completed as soon as possible.,[object Object]
Sepsis Resuscitation Bundle,[object Object],Measure serum lactate,[object Object],Blood cultures obtained prior to administration of antibiotic,[object Object],From time of presentation, broad spectrum antibiotics must be administered within 3hrs of ED admission, or within 1hr of non-ED admission,[object Object],In the event that hypotension and/or serum lactate >4mmol,[object Object],		a) Deliver initial minimum of 20ml/kg of crystalloid or 	colloid equivalent.,[object Object],		b) Apply vasopressors for hypotension not responding to 	initial fluid resuscitation to maintain a MAP of ≥65mmHg.,[object Object],Consider insertion of urinary catheter (measure UOP),[object Object],If hypotension persists and serum lactate >4mmol despite fluid resuscitation achieve,[object Object],		a) CVP ≥8mmHg and,[object Object],		b) (ScvO2) of ≥70%.,[object Object]
Unfortunate Progression of Sepsis,[object Object],Decrease Oxygenation,[object Object],Cont. decrease in oxygenation,[object Object],Lower BP,[object Object],Signs,[object Object],Death,[object Object],Low BP,[object Object],Fluids,[object Object],Vasopressors,[object Object],Treatments,[object Object],Mechanical Ventilation,[object Object],Face Mask O2,[object Object]
Were Objectives Met?,[object Object],Can you recognize inflammation through signs such as redness, heat, swelling, pain and loss of function? ,[object Object],Are you aware of changes in vital signs; tachycardia, hypotension, decrease in O2, increase in respirations?,[object Object],What labs should you monitor aggressively?,[object Object],Do you have a better understanding of the need for urgent fluid resuscitation to reverse hypovolemia that has occurred from sepsis?,[object Object],Did this information help you interpret physiological observations to decrease mortality rate in adults with sepsis?,[object Object]
References,[object Object],Carter, C. (2007). Implementing the severe sepsis care bundles outside the ICU by outreach. British Association of Critical Care Nurses, Nursing in Critical Care, 12 (5), 225-230,[object Object],Peel, M. (2008). Care bundles: resuscitation of patients with severe sepsis. Nursing Standard, 23 (11), 41-46,[object Object],Simrandeep, S., Pradeep, S., Gurjit, S. (2009). Systemic inflammatory response syndrome outcome in surgical patients. Indian Journal of Surgery, 71, 206–209,[object Object]

Contenu connexe

Tendances

Intra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbiaIntra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbiaDr Kumar
 
Fluid management in ICU
Fluid management in ICUFluid management in ICU
Fluid management in ICUAhmed Elsaid
 
Antiarrhythmic drugs & Anaesthesia for Cardioversion
Antiarrhythmic drugs & Anaesthesia for CardioversionAntiarrhythmic drugs & Anaesthesia for Cardioversion
Antiarrhythmic drugs & Anaesthesia for Cardioversionleenatayshete
 
Oxygenation, Ventilation And Ventilator Management In The First 24 Hours
Oxygenation, Ventilation And Ventilator Management In The First 24 HoursOxygenation, Ventilation And Ventilator Management In The First 24 Hours
Oxygenation, Ventilation And Ventilator Management In The First 24 HoursDang Thanh Tuan
 
Care Bundles in Sepsis
Care Bundles in SepsisCare Bundles in Sepsis
Care Bundles in SepsisNIICS
 
Fluids in Intensive Care
Fluids in Intensive Care Fluids in Intensive Care
Fluids in Intensive Care Vineel Bezawada
 
Sepsis In critical care 2019 final
Sepsis In critical care 2019 finalSepsis In critical care 2019 final
Sepsis In critical care 2019 finalFadel Omar
 
Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1MEEQAT HOSPITAL
 
Anesthesia in patients on anti coagulants
Anesthesia in patients on anti coagulantsAnesthesia in patients on anti coagulants
Anesthesia in patients on anti coagulantsNavin Jain‬
 
Mechanical ventilation wave forms
Mechanical ventilation wave formsMechanical ventilation wave forms
Mechanical ventilation wave formsSintayehu Asrat
 
Non invasive ventilation 24th oct 2014 final
Non invasive ventilation 24th oct 2014  finalNon invasive ventilation 24th oct 2014  final
Non invasive ventilation 24th oct 2014 finalArchana Ravi
 
Ventilatory strategies in ARDS
Ventilatory strategies in ARDSVentilatory strategies in ARDS
Ventilatory strategies in ARDSisakakinada
 
anaesthesia in chronic kidney disease
anaesthesia in chronic kidney diseaseanaesthesia in chronic kidney disease
anaesthesia in chronic kidney diseasesarmistha panigrahi
 
Pulmonary Embolism
Pulmonary Embolism	Pulmonary Embolism
Pulmonary Embolism Khalid
 
Anesthesia in. Obstructive pulmonary disease
Anesthesia in. Obstructive pulmonary diseaseAnesthesia in. Obstructive pulmonary disease
Anesthesia in. Obstructive pulmonary diseaseTenzin yoezer
 

Tendances (20)

Intra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbiaIntra operative hypoxia and hypercarbia
Intra operative hypoxia and hypercarbia
 
Ards
ArdsArds
Ards
 
Fluid management in ICU
Fluid management in ICUFluid management in ICU
Fluid management in ICU
 
Antiarrhythmic drugs & Anaesthesia for Cardioversion
Antiarrhythmic drugs & Anaesthesia for CardioversionAntiarrhythmic drugs & Anaesthesia for Cardioversion
Antiarrhythmic drugs & Anaesthesia for Cardioversion
 
Oxygenation, Ventilation And Ventilator Management In The First 24 Hours
Oxygenation, Ventilation And Ventilator Management In The First 24 HoursOxygenation, Ventilation And Ventilator Management In The First 24 Hours
Oxygenation, Ventilation And Ventilator Management In The First 24 Hours
 
Geriatric anaesthesia
Geriatric anaesthesiaGeriatric anaesthesia
Geriatric anaesthesia
 
Care Bundles in Sepsis
Care Bundles in SepsisCare Bundles in Sepsis
Care Bundles in Sepsis
 
Fluids in Intensive Care
Fluids in Intensive Care Fluids in Intensive Care
Fluids in Intensive Care
 
Sepsis In critical care 2019 final
Sepsis In critical care 2019 finalSepsis In critical care 2019 final
Sepsis In critical care 2019 final
 
Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1Sepsis and septic shock guidelines 2021. part 1
Sepsis and septic shock guidelines 2021. part 1
 
Geriatric Nesthesia
Geriatric NesthesiaGeriatric Nesthesia
Geriatric Nesthesia
 
Anesthesia in patients on anti coagulants
Anesthesia in patients on anti coagulantsAnesthesia in patients on anti coagulants
Anesthesia in patients on anti coagulants
 
Ventillation strategies in ards
Ventillation strategies in ardsVentillation strategies in ards
Ventillation strategies in ards
 
Sickle cell disease and anaeshesia
Sickle cell disease and anaeshesiaSickle cell disease and anaeshesia
Sickle cell disease and anaeshesia
 
Mechanical ventilation wave forms
Mechanical ventilation wave formsMechanical ventilation wave forms
Mechanical ventilation wave forms
 
Non invasive ventilation 24th oct 2014 final
Non invasive ventilation 24th oct 2014  finalNon invasive ventilation 24th oct 2014  final
Non invasive ventilation 24th oct 2014 final
 
Ventilatory strategies in ARDS
Ventilatory strategies in ARDSVentilatory strategies in ARDS
Ventilatory strategies in ARDS
 
anaesthesia in chronic kidney disease
anaesthesia in chronic kidney diseaseanaesthesia in chronic kidney disease
anaesthesia in chronic kidney disease
 
Pulmonary Embolism
Pulmonary Embolism	Pulmonary Embolism
Pulmonary Embolism
 
Anesthesia in. Obstructive pulmonary disease
Anesthesia in. Obstructive pulmonary diseaseAnesthesia in. Obstructive pulmonary disease
Anesthesia in. Obstructive pulmonary disease
 

En vedette

Surviving sepsis, 2013 kristy molnar, critical care consultants
Surviving sepsis, 2013   kristy molnar, critical care consultantsSurviving sepsis, 2013   kristy molnar, critical care consultants
Surviving sepsis, 2013 kristy molnar, critical care consultantsKristy Molnar
 
New definition of sepsis... sepsis 3
New definition of sepsis... sepsis 3New definition of sepsis... sepsis 3
New definition of sepsis... sepsis 3Neisevilie Nisa
 
Sepsis updates 2016
Sepsis updates 2016Sepsis updates 2016
Sepsis updates 2016Ashraf Nadim
 
The Sepsis Resuscitation And Management Bundles
The Sepsis Resuscitation And Management BundlesThe Sepsis Resuscitation And Management Bundles
The Sepsis Resuscitation And Management BundlesBilal Baig
 
Early Goal-Directed Therapy in Septic Shock
Early Goal-Directed Therapy in Septic ShockEarly Goal-Directed Therapy in Septic Shock
Early Goal-Directed Therapy in Septic Shockshivabirdi
 
Goal directed resuscitation for patients
Goal directed resuscitation for patientsGoal directed resuscitation for patients
Goal directed resuscitation for patientsDrJawad Butt
 
Left Ventricular Diastolic Dysfunction
Left Ventricular Diastolic DysfunctionLeft Ventricular Diastolic Dysfunction
Left Ventricular Diastolic DysfunctionJLS Interactive, LLC
 
Sepsis and early goal directed therapy
Sepsis and early goal directed therapySepsis and early goal directed therapy
Sepsis and early goal directed therapyFaez Toushiro
 
Echocardiographic Evaluation of LV Diastolic Function
Echocardiographic Evaluation of LV Diastolic FunctionEchocardiographic Evaluation of LV Diastolic Function
Echocardiographic Evaluation of LV Diastolic FunctionJunhao Koh
 
Darren shaw proximity is the new top local search ranking factor - local or...
Darren shaw   proximity is the new top local search ranking factor - local or...Darren shaw   proximity is the new top local search ranking factor - local or...
Darren shaw proximity is the new top local search ranking factor - local or...Darren Shaw
 
Surviving sepsis campaign highlights 2016
Surviving sepsis campaign  highlights 2016Surviving sepsis campaign  highlights 2016
Surviving sepsis campaign highlights 2016Sekar Loganathan
 
Darren shaw - proximity is the new top local search ranking factor - moz post
Darren shaw - proximity is the new top local search ranking factor - moz postDarren shaw - proximity is the new top local search ranking factor - moz post
Darren shaw - proximity is the new top local search ranking factor - moz postDarren Shaw
 

En vedette (20)

Surviving sepsis, 2013 kristy molnar, critical care consultants
Surviving sepsis, 2013   kristy molnar, critical care consultantsSurviving sepsis, 2013   kristy molnar, critical care consultants
Surviving sepsis, 2013 kristy molnar, critical care consultants
 
New definition of sepsis... sepsis 3
New definition of sepsis... sepsis 3New definition of sepsis... sepsis 3
New definition of sepsis... sepsis 3
 
Sepsis 2016
Sepsis 2016 Sepsis 2016
Sepsis 2016
 
Sepsis updates 2016
Sepsis updates 2016Sepsis updates 2016
Sepsis updates 2016
 
The Sepsis Resuscitation And Management Bundles
The Sepsis Resuscitation And Management BundlesThe Sepsis Resuscitation And Management Bundles
The Sepsis Resuscitation And Management Bundles
 
Sepsis
SepsisSepsis
Sepsis
 
Code sepsis
Code sepsisCode sepsis
Code sepsis
 
Early Goal-Directed Therapy in Septic Shock
Early Goal-Directed Therapy in Septic ShockEarly Goal-Directed Therapy in Septic Shock
Early Goal-Directed Therapy in Septic Shock
 
Goal directed resuscitation for patients
Goal directed resuscitation for patientsGoal directed resuscitation for patients
Goal directed resuscitation for patients
 
Left Ventricular Diastolic Dysfunction
Left Ventricular Diastolic DysfunctionLeft Ventricular Diastolic Dysfunction
Left Ventricular Diastolic Dysfunction
 
Sepsis and early goal directed therapy
Sepsis and early goal directed therapySepsis and early goal directed therapy
Sepsis and early goal directed therapy
 
Sepsis markers
Sepsis markersSepsis markers
Sepsis markers
 
Echocardiographic Evaluation of LV Diastolic Function
Echocardiographic Evaluation of LV Diastolic FunctionEchocardiographic Evaluation of LV Diastolic Function
Echocardiographic Evaluation of LV Diastolic Function
 
Management Of Chronic Hepatitis B
Management Of Chronic Hepatitis BManagement Of Chronic Hepatitis B
Management Of Chronic Hepatitis B
 
CME: Management of Severe Sepsis & Septic Shock
CME: Management of Severe Sepsis & Septic ShockCME: Management of Severe Sepsis & Septic Shock
CME: Management of Severe Sepsis & Septic Shock
 
Diastolic dysfunction
Diastolic dysfunctionDiastolic dysfunction
Diastolic dysfunction
 
Darren shaw proximity is the new top local search ranking factor - local or...
Darren shaw   proximity is the new top local search ranking factor - local or...Darren shaw   proximity is the new top local search ranking factor - local or...
Darren shaw proximity is the new top local search ranking factor - local or...
 
Surviving sepsis campaign highlights 2016
Surviving sepsis campaign  highlights 2016Surviving sepsis campaign  highlights 2016
Surviving sepsis campaign highlights 2016
 
Cvl bundle presentation
Cvl bundle presentationCvl bundle presentation
Cvl bundle presentation
 
Darren shaw - proximity is the new top local search ranking factor - moz post
Darren shaw - proximity is the new top local search ranking factor - moz postDarren shaw - proximity is the new top local search ranking factor - moz post
Darren shaw - proximity is the new top local search ranking factor - moz post
 

Similaire à Sepsis resuscitation bundle

Surviving Sepsis
Surviving SepsisSurviving Sepsis
Surviving SepsisMax Kyi
 
Sepsis power point presentation
Sepsis power point presentationSepsis power point presentation
Sepsis power point presentationdlecolst
 
Sepsis and septic shock
Sepsis and septic shockSepsis and septic shock
Sepsis and septic shockratna savitrie
 
Identification and recognition of sepsis
Identification and recognition of sepsisIdentification and recognition of sepsis
Identification and recognition of sepsisHasanuddin University
 
clinical syndrome (1).pptx
clinical syndrome (1).pptxclinical syndrome (1).pptx
clinical syndrome (1).pptxMesfinShifara
 
Dr hamada alsedawy sepsis and aki
Dr hamada alsedawy   sepsis and akiDr hamada alsedawy   sepsis and aki
Dr hamada alsedawy sepsis and akiFarragBahbah
 
Sepsis and septic shock guidelines
Sepsis  and septic shock guidelinesSepsis  and septic shock guidelines
Sepsis and septic shock guidelinesMEEQAT HOSPITAL
 
Sepsis 05 12 definitief
Sepsis 05 12 definitiefSepsis 05 12 definitief
Sepsis 05 12 definitiefbarbrabackus
 
SEPSIS MANGEMENT IN THE EMERGENCIES.pptx
SEPSIS MANGEMENT IN THE  EMERGENCIES.pptxSEPSIS MANGEMENT IN THE  EMERGENCIES.pptx
SEPSIS MANGEMENT IN THE EMERGENCIES.pptxDr Abd Elaal Elbahnasy
 
Sepsis and septic shock
Sepsis and septic shockSepsis and septic shock
Sepsis and septic shockBabak Jebelli
 
Current Strategy in Management of Severe Sepsis.pptx
Current Strategy in Management of Severe Sepsis.pptxCurrent Strategy in Management of Severe Sepsis.pptx
Current Strategy in Management of Severe Sepsis.pptxHoKimWah
 
Sepsis in surgical patients and its biomarkers.pptx
Sepsis in surgical patients and its biomarkers.pptxSepsis in surgical patients and its biomarkers.pptx
Sepsis in surgical patients and its biomarkers.pptxsamrat277229
 

Similaire à Sepsis resuscitation bundle (20)

Surviving Sepsis
Surviving SepsisSurviving Sepsis
Surviving Sepsis
 
Sepsis powerpoints
Sepsis powerpointsSepsis powerpoints
Sepsis powerpoints
 
Sepsis power point presentation
Sepsis power point presentationSepsis power point presentation
Sepsis power point presentation
 
Sepsis and septic shock
Sepsis and septic shockSepsis and septic shock
Sepsis and septic shock
 
Mss
MssMss
Mss
 
Chapter 8
Chapter 8Chapter 8
Chapter 8
 
Identification and recognition of sepsis
Identification and recognition of sepsisIdentification and recognition of sepsis
Identification and recognition of sepsis
 
Identification and recognition of sepsis
Identification and recognition of sepsisIdentification and recognition of sepsis
Identification and recognition of sepsis
 
Case pancretitis
Case pancretitisCase pancretitis
Case pancretitis
 
Management of shock
Management of shockManagement of shock
Management of shock
 
clinical syndrome (1).pptx
clinical syndrome (1).pptxclinical syndrome (1).pptx
clinical syndrome (1).pptx
 
Dr hamada alsedawy sepsis and aki
Dr hamada alsedawy   sepsis and akiDr hamada alsedawy   sepsis and aki
Dr hamada alsedawy sepsis and aki
 
Sepsis and septic shock
Sepsis  and septic shockSepsis  and septic shock
Sepsis and septic shock
 
Sepsis and septic shock guidelines
Sepsis  and septic shock guidelinesSepsis  and septic shock guidelines
Sepsis and septic shock guidelines
 
Sepsis 05 12 definitief
Sepsis 05 12 definitiefSepsis 05 12 definitief
Sepsis 05 12 definitief
 
SEPSIS MANGEMENT IN THE EMERGENCIES.pptx
SEPSIS MANGEMENT IN THE  EMERGENCIES.pptxSEPSIS MANGEMENT IN THE  EMERGENCIES.pptx
SEPSIS MANGEMENT IN THE EMERGENCIES.pptx
 
Sepsis and septic shock
Sepsis and septic shockSepsis and septic shock
Sepsis and septic shock
 
Current Strategy in Management of Severe Sepsis.pptx
Current Strategy in Management of Severe Sepsis.pptxCurrent Strategy in Management of Severe Sepsis.pptx
Current Strategy in Management of Severe Sepsis.pptx
 
Sepsis in surgical patients and its biomarkers.pptx
Sepsis in surgical patients and its biomarkers.pptxSepsis in surgical patients and its biomarkers.pptx
Sepsis in surgical patients and its biomarkers.pptx
 
Sepsis
SepsisSepsis
Sepsis
 

Dernier

power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisSujoy Dasgupta
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 

Dernier (20)

power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosis
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 

Sepsis resuscitation bundle

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.