Test #2 Sepsis ARTICLES- Dwayne

Question 1

SIRS (systemic inflammatory response syndrome)

Answer 1

2 or more of the following define SIRS

temp > 38 degrees C, Hr >90, Resp > 20 min or PaCo2< 43

Question 2

Sepsis is

Answer 2

SIRS with evidence of infection

Question 3

The golden hours?

Answer 3

first 6 hrs of resuscitation of the septic Pt and usually coincide with surgery

Question 4

Hypotensive septic Pts need volume resusitation to the following end points

Answer 4

CVP 8-12, MAP 65, urine output 0.5 ml/kg, central venous O2 sat >70,Hct >30.

Question 5

Vasopressors support

Answer 5

Norepi and low dose vaspressin (0.03 uinits/min)

Question 6

Which inotrope is recommended to add to vasopressors in septic Pts

Answer 6

Dobutaimine is the 1st line therapy

Question 7

For soft tissue infection of the abd and thorax what imaging technique should be used?

Answer 7

CT

Question 8

The MAC of inhaled anesthetics is increased in sever sepsis Pts? T/F

Answer 8

False it is reduced

Question 9

adequate tissue oxygen is assessed by ?

Answer 9

Lactic acid < 2 and mix-venous O2 sat >70

Question 10

Low pressure settings, high FIo2, Low tidal volumes (6ml/kg), permissive hypercapnia are considered ok if ?

Answer 10

the pH is >7.2

Question 11

sodium bicarb is not recommended for correcting pH less then?

Answer 11

7.1

Question 12

Hydrocortisone 200 mg Q day is recommended in septic pts for 7 days T/F

Answer 12

ture