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{| style="border: 3px solid #696969;"
| style="font-size: 85%; background: #545454; color: #F8F8FF; padding: 5px 10px; font-weight: bold;" | Sepsis = infection (documented or suspected) and some of the following:
| style="background: #000000; border: 0px; padding: 20px 20px; width: 80%;" |
|-
<center><b><font color="#F8F8FF">{{{blackBoxWarningTitle}}}</font></b></center><br>
| style="font-size: 85%; background: #DCDCDC; padding: 5px 10px;" | General variables
<center><font color="#F8F8FF" size="1">''See full prescribing information for complete boxed warning.''</font></center>
* Fever (&gt;38.3°C)
<b><font color="#F8F8FF"><br>{{{blackBoxWarningBody}}}</font></b>
* Hypothermia (core temperature &lt;36°C)
* Heart rate &gt;90/min–1 or more than two SD above the normal value for age
* Tachypnea
* Altered mental status
* Significant edema or positive fluid balance (&gt;20 mL/kg over 24 hr)
* Hyperglycemia (plasma glucose &gt;140mg/dL or 7.7 mmol/L) in the absence of diabetes
|-
| style="font-size: 85%; background: #F5F5F5; padding: 5px 10px;" | Inflammatory variables
* Leukocytosis (WBC count &gt;12,000 μL–1)
* Leukopenia (WBC count &lt;4000 μL–1)
* Normal WBC count with greater than 10% immature forms
* Plasma C-reactive protein more than two SD above the normal value
* Plasma procalcitonin more than two SD above the normal value
|-
| style="font-size: 85%; background: #DCDCDC; padding: 5px 10px;" | Hemodynamic variables
* Arterial hypotension (SBP &lt;90mm Hg, MAP &lt;70mm Hg, or an SBP decrease &gt;40mm Hg in adults or less than two SD below normal for age)
|-
| style="font-size: 85%; background: #F5F5F5; padding: 5px 10px;" | Organ dysfunction variables
* Arterial hypoxemia (Pao2/Fio2 &lt;300)
* Acute oliguria (urine output &lt;0.5 mL/kg/hr for at least 2 hrs despite adequate fluid resuscitation)
* Creatinine increase &gt;0.5mg/dL or 44.2 μmol/L
* Coagulation abnormalities (INR &gt;1.5 or aPTT &gt;60 s)
* Ileus (absent bowel sounds)
* Thrombocytopenia (platelet count &lt;100,000 μL–1)
* Hyperbilirubinemia (plasma total bilirubin &gt;4mg/dL or 70 μmol/L)
|-
| style="font-size: 85%; background: #DCDCDC; padding: 5px 10px;" | Tissue perfusion variables
* Hyperlactatemia (&gt;1 mmol/L)
* Decreased capillary refill or mottling
|}
|}

Latest revision as of 14:10, 18 March 2015

{{{blackBoxWarningTitle}}}

See full prescribing information for complete boxed warning.


{{{blackBoxWarningBody}}}