Sepsis A 67-ycar-old man with a 6-yca.r history of hypertension and a 30-pack-ycar smoking history was admitted to the ICU with a diagnosis of cirrhosis secondary to biliary obstruction. He underwent...

Sepsis

A 67-ycar-old man with a 6-yca.r history of hypertension and a 30-pack-ycar smoking history was admitted to the ICU with a diagnosis of cirrhosis secondary to biliary obstruction. He underwent an exploratory laparotomy and cholecystectomy 3 days ago. He experienced an episode of hypotension 12 hours postoperativdy, which resolved with IV crystalloid administration. He remains intubated and attempts at weaning have been complicated by hypaxemia.

He currently has an arterial line, central venous catheter (CVC), T-tubc drain, and an indwelling urinary catheter. He is alert and oriented, moving in bed with little assistance. Physical examination reveals that his skin is pale, but warm, pulmonary auscultation is notable for bibasilar crackles, and cardiovascular exam is positive for 1 + pedal edema bilaterally. His abdomen is soft, non-tender, nondistended, with hypoactive bowd sounds. His 5-inch midline abdominal wound requires dressing changes 3 times daily and is approximated with retention sutures. Current vital signs arc:

Current laboratory results arc:

What are this patient's risk facton for 1epsis?

 What clinical manifestations may be suggestiw of sepsi1?

Is his qSOFA po1itift?