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Monitor Response and Vital Sign Targets

RN Assessment and Vital Sign Documentation-Sepsis

Clinical Goals for Initial Resuscitation-Sepsis

Age-Related Vital Sign Targets-Sepsis

References

Akre, M., Finkelstein, M., Erickson, M., Liu, M., Vanderbilt, L., & Billman, G. (2010). Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics, 125(4), e763-769. https://doi.org/10.1542/peds.2009-0338

Children's Hospital of Philadelphia. (2023). Clinical goals for initial resuscitation. https://www.chop.edu/clinical-pathway/sepsis-clinical-goal-initial-resuscitation-ed-inpatient-picu

Children's Hospital of Philadelphia. (2023). Monitor response and vital sign targets. https://www.chop.edu/clinical-pathway/sepsis-monitor-response-vital-sign-targets-and-clinical-goals-ed-inpatient-picu#targets

Puskarich, M.A., Trzeciak, S., Shapiro, N.I., Heffner, A.C., Kline, J.A., & Jones, A.E. (2011). Outcomes of patients undergoing early sepsis resusciatation for cryptic shock compared with overt shock. Resuscitation, 82(10), 1289-1293. https://doi.org/ 10.1016/j.resuscitation.2011.06.015

Weiss, S.L., & Pomertantz, W.J. (2022) Septic shock in children: Rapid recognition and initial resuscitation (first hour). UpToDate. Retrieved February 8, 2023, from https://www.uptodate.com/contents/septic-shock-in-children-rapid-recognition-and-initial-resusciation-first-hour

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.