Sepsis Risk of Infection Score (RISSC) Medical Algorithm

Are you evaluating an infected patient in the ICU?

Yes

Heart rate

beats per minute

Systolic blood pressure

mm Hg

Body temperature

Is the patient receiving mechanical ventilation?

Yes

Does the patient have pneumonia?

Yes

Does the patient have peritonitis?

Yes

Does the patient have primary bacteremia?

Yes

Serum total bilirubin

Serum sodium

Platelet count

Is the patient infected with Gram-positive cocci?

Yes

Is the patient infected with aerobic Gram-negative bacilli?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

The risk of progression to severe sepsis or septic shock is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
- Quick SOFA (qSOFA) Score
Criteria For Diagnosis
Severity, Prognosis, Stage

Therapy

Selection
- Using a Short ACTH Stimulation Test to Identify Patients with Septic Shock Who Have Relative Adrenocortical Insufficiency
- Dopamine-Resistant Septic Shock
Pharmacogenetics
- Dopamine-Resistant Septic Shock
Failure Handling And Therapy Escalation

Monitoring

Disease Progression

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Risk of Infection to Severe Sepsis and Shock Score (RISSC) of Alberti et al

Purpose: To identify an infected patient in the ICU who is likely to progress to severe sepsis or septic shock using the RISSC score of Alberti et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10