3. Septic Shock in a Dental Patient

Question 1

WHat is the most common bug in the body?

Answer 1

Strep

Question 2

WHat is the least common bug iin the body?

Answer 2

staph and fungal

Question 3

how does one get septic shock

Answer 3

hypotension

Question 4

Sepsis must be ___ SIRS criteria

Answer 4

> 2

Question 5

Four criteria of SIRS.

Answer 5

Temp >38C <36C
HR >90BPM
RR > 20rpm
WBC > 12,000 or less than 4,000

Question 6

What do you need for severe sepsis?

Answer 6

organ dysfunction

Question 7

Sepsis often presents w/

Answer 7

pre existing disease

Question 8

What is the most common bug to obtain sepsis in the USA?

Answer 8

Gram - but since the 2000’s it is now gram positive

Question 9

World wide what is the most common form of sepsis?

Answer 9

gram negative

Question 10

What is MAP?

Answer 10

avg. pressure in pt’s arteris in 1 day

Question 11

what is sepsis?

Answer 11

dysregulated inflammatory response to infection

Question 12

difference between primary and secondary organ dysfunction?

Answer 12

primary: bug causes death
secondary: response of organ causes death

Question 13

What is ischemia?

Answer 13

decreased O2 in tissues

Question 14

What is Cytopathic injury?

Answer 14

Inflammatory things cause damage to tissue

Question 15

What do you want to correlate with Cardica organ damage?

Answer 15

EGDT sepsis bundle

Question 16

What do we do for Sepsis?

Answer 16

Fluids
Monitoring tissue
Pressors