kblalock6

@detroitdano: BEST answer yet! Thank you so much!

I wish it were just homework. New grad in the ICU with little exposure to sepsis.

1) A pt with sepsis has a 101 temp. Which is more appropriate at treating this: a cooling blanket or acetaminophen? Both are avail for fever. 2) Corticosteroids with vasopressin or Levo/Dopamine if needed longer than 6 hr. Rationale? 3) Pt has a decrease in SBP from 120s to 86 in 30 min. A/Ox4 but sleepy. Pt received 1L NS bolus in ER for SBP 80s 2 hours ago, has hx of CHF, in for pneumonia and poss sepsis, on requiring BiPap. Sepsis bundle has NOT been ordered for pt. After waking pt up SBP 110s, 1 hr later SBP 82. Pt husband reports "BP runs low". Okay to request Levo just in case or is that overthinking it too much?

Congrats on the ER position! I got the ICU residency at the same hospital. I guess I'll bump into you at orientation. I have worked here at the hospital for a good while and it's a wonderful place to work and the people are awesome! Tight knit crews. Again, congrats.