Criteria for Severe Sepsis and Septic Shock

Question 1

What lab assessments do we look at for severe sepsis screening?

Answer 1

• Temp
• RR
• HR
• WBC
• Lactate
• UOP
• PaO2/FiO2

Question 2

Severe Sepsis Screening:

Temp

Answer 2

greater 38.3

less than 36

Question 3

Severe Sepsis Screening:

RR

Answer 3

greater than 20

Question 4

Severe Sepsis Screening:

HR

Answer 4

greater than 90

Question 5

Severe Sepsis Screening:

WBC

Answer 5

greater than 12,000

less than 4000

Question 6

Severe Sepsis Screening:

Lactate

Answer 6

less than 4

Question 7

Severe Sepsis Screening:

infection?

Answer 7

the source should be suspected

Question 8

Severe Sepsis Screening:

UOP

Answer 8

less than 0.5 mL/kg/hr for 2 hours

Question 9

Severe Sepsis Screening:

PaO2/FiO2

Answer 9

less than 200

Question 10

What of shock is septic shock?

Answer 10

Distributive

Question 11

What has occurred in the body once a pt gets to septic shock?

Answer 11

multiple organ failure

Question 12

Septic shock CV:

vasodilation or constriction?

Answer 12

Vasodilation!!

**why can’t get up BP

Question 13

Septic shock CV:

Preload

CO

Answer 13

Preload reduced

CO increased

Question 14

Septic shock CV:

Tissue perfusion

Answer 14

Decreased

**inadequate oxygen delivery to cells

Question 15

Septic Shock Endocrine:

PNS or SNS stimulated?

Answer 15

SNS

**ACTH

Question 16

Septic Shock Endocrine:

Which hormones release?

Answer 16

• epinephrine
• norepinheprine
• glucocorticoids
• aldosterone
• glucagon
• renin

Question 17

Main 3 symptoms of septic shock?

Answer 17

1. lactic ACIDOSIS
2. Oliguria
3. Mental status alterations