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This is a two-part discussion question. Support your answer with two or three peer-reviewed resources.

  1. Identify and discuss sepsis, SIRS, severe sepsis, and septic shock by listing the diagnostic criteria for each. Discuss sepsis protocols employed at your current clinical or work site. Protocols are consistent for the most part, but individual sites may utilize empiric antibiotics/antifungals, steroids, ICU placement, empiric antibiotics, hemodynamic monitoring, and other interventions. Review current literature and briefly summarize one novel or new approach to sepsis management.
  2. How does fever impact fluid and electrolyte balances? Recommend appropriate nonpharmacological and nutritional interventions associated with acute fever and associated conditions and disorders in the adult gerontology population.