الإنتان مع ارتفاع لاكتات المصل: ما يجب فعله فوراً

References

DOI: 10.1097/CCM.0000000000005337

• Sepsis and septic shock are medical emergencies, and we recommend that treatment and resuscitation begin immediately.
• For patients with sepsis induced hypoperfusion or septic shock we suggest that at least 30 mL/kg of IV crystalloid fluid should be given within the first 3 hours of resuscitation.
• For adults with sepsis or septic shock, we recommend using crystalloids as first-line fluid for resuscitation.
• For adults with sepsis or septic shock, we suggest using balanced crystalloids instead of normal saline for resuscitation.
• For adults with possible septic shock or a high likelihood for sepsis, we recommend administering antimicrobials immediately, ideally within one hour of recognition.
• For adults with sepsis or septic shock, we recommend rapidly identifying or excluding a specific anatomical diagnosis of infection that requires emergent source control and implementing any required source control intervention as soon as medically and logistically practical.
• For adults with sepsis or septic shock, we suggest guiding resuscitation to decrease serum lactate in patients with elevated lactate level, over not using serum lactate.