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Sepsis Bundle Planner

Hour-1 stabilization checklist with fluid targets & reassessment

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Hour-1 Bundle Timeline
Bundle Completion 0%
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Measure Lactate
Obtain baseline - repeat if >2 mmol/L
0-15 min
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Blood Cultures
Before antimicrobials if possible
0-15 min
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Broad-Spectrum Antibiotics
Administer within 1 hour
0-60 min
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Fluid Resuscitation
30 mL/kg if hypotensive
0-60 min
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Vasopressors (if indicated)
If MAP remains low after fluids
If needed
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Source Control
Identify and address source
ASAP
Fluid Calculation
Initial Bolus = Weight (kg) × 30 mL/kg
Reassess = MAP, lactate, perfusion q15-30 min
💡 Clinical Pearls
  • Start antibiotics within 1 hour of recognition - every hour delays outcomes
  • Give fluid boluses in aliquots (dogs: 10-20 mL/kg, cats: 5-10 mL/kg)
  • Recheck lactate within 2-4 hours - clearance indicates response
  • Document time-zero for bundle tracking and quality metrics