Intensive Care Nursing/Sepsis Scenarios/Medical Sepsis Unfolding Case Study

Background and Arrival In The Emergency Department
MP is an 83-year-old female patient is brought to the emergency department from a Skilled Nursing Facility (SNF) due to progressing altered mental status and dysuria/pyuria over the past 3 days. Family was notified by the SNF and is on their way.

On arrival the patient is connected to the monitor and vital signs are as followed:

Temperature: 38.5 C (101.3 F)

HR: 122

BP: 85/50

RR: 18

SpO2: 95% @ RA

White Blood Cell count: 16k/microliter

Lactate: 2.5

{The provider in the ED has ordered a fluid bolus on account of their hypotension. Which of the following orders do you also anticipate seeing? +Urine culture +Blood culture +Antibiotics -Purified Protein Derivative (PPD skin test)
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{Which of the vital signs or labs are most concerning to you at this time? +Lactate -Oxygen Saturation -Respiratory rate -White Blood Cell count
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 * 1) /Medical Sepsis Scenario p2/