Sepsis and Septic Shock Flashcards
What are the components of SIRS criteria?
Temp >/ 38 degC or 36 degC HR >/ 90 RR >/ 20 PaCO2 36 WBC >/ 12,000 /< 4000 or >/ 10%
What is the cut off value of lactate to say that the patient has septic shock?
> 2mmol/L in the absence of hypovolemia
how will you resuscitate a patient with SIRS?
30ml/kg IV crystalloids in the first 3 hours to maintain a MAP of > 65
What is the first line pressors for SIRS?
NE
If the patient has unresponsive septic shock, what will you give?
IV hydrocortisone 200mg/day
What is the target tidal volume for patients with SIRS/SEPTIC SHOCK?
6mL/kg
What is the target glucose control in patients with SIRS/Sepsis?
<180
What are the components of qSOFA?
RR >22
Altered mental status
SBP <100
[SSI]
Skin and subcutaneous tissue are involved
superficial SSI
[SSI]
Skin + SQ + fascia
deep SSI
[SSI]
Skin + SQ + fascia + muscle
deep SSI
[SSI]
organ or space SSI with implant occurs within ___
within 1 year
[SSI]
organ SSI without implant occurs within ____
within 30 days
[SSI]
Deep incision that spontaneously dehisces with fever, localized pain or tenderness
deep incisional
[Surgical Prophylaxis]
You give antibiotics ___ minutes before incision
60 mins
