Do no do examples

Do no do examples for Sepsis: recognition, diagnosis and early management
Title Year published Impact Level
Do not use a person's temperature as the sole predictor of sepsis. December 2016 Unclassified
Do not perform a lumbar puncture without consultant instruction if any of the following contraindications are present: signs suggesting raised intracranial pressure or reduced or fluctuating level of consciousness (Glasgow Coma Scale score less than 9 or a drop of 3 points or more), relative bradycardia and hypertension, focal neurological signs, abnormal posture or posturing, unequal, dilated or poorly responsive pupils, papilloedema, abnormal 'doll's eye' movements, shock, extensive or spreading purpura, after convulsions until stabilised, coagulation abnormalities or coagulation results outside the normal range or platelet, count below 100x109/litre or receiving anticoagulant therapy, local superficial infection at the lumbar puncture site, respiratory insufficiency in children. [This recommendation is adapted from NICE's guideline on meningitis (bacterial) and meningococcal septicaemia in under 16s.] December 2016 Unclassified
Do not rely on fever or hypothermia to rule sepsis either in or out. December 2016 Unclassified
Do not use starch based solutions or hydroxyethyl starches for fluid resuscitation for people with sepsis. [This recommendation is adapted from NICE's guidelines on intravenous fluid therapy in adults in hospital and intravenous fluid therapy in children and young people in hospital.] December 2016 Unclassified