The nurse has standing orders to implement the sepsis management bundle in a patient with severe sepsis. Which intervention should the nurse prepare to administer? Select all that apply.

Question

Quizplus · Accepted Answer

1. Measuring serum lactate is the first element of the sepsis bundle.
2. Obtaining blood cultures is the second element of the sepsis bundle.
3. Insulin should be used to treat blood glucose levels greater than 180 mg/dL.
4. The severe sepsis bundle calls for an initial fluid challenge of a minimum of 30 mL/kg of crystalloid in cases of suspected hypovolemia or actual cases of serum lactate greater than 4 mmol/L (36 g/dL).
5. In the event of persistent hypotension despite fluid resuscitation (septic shock), bundle element 5 indicates delivery of vasopressors to maintain a mean arterial pressure greater than or equal to 65 mm Hg.

The Nurse Has Standing Orders to Implement the Sepsis Management