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Infectious Disease > Pediatric Sepsis > Flashcards

Flashcards in Pediatric Sepsis Deck (17):
1

WHat qualifies a fever?

38 deg celcius (100.4 far)

2

WHat are the common ways to measure body temperature?

Axilla
Oral
Rectal
Tympanic

3

What are considered elevated vitals in infants?

Temp >38 or 90 or 2SD above mean
RR > 30 or 2 SD above mean
PaCO2 15k, 10% of WBC

4

What is bacteremia?
Fungemia, viremia, parisitemia?

Presence of viable bacteria in the blood

5

What is MODS?

Presence of altered organ function in an acutely ill patient => physiologic Homeostasis cannot be maintained without intervention.

6

What is sepsis?

SIRS with infection

7

What is SIRS

Systemic Inflammatory Response Syndrome

8

WHat are signs of systemic hypoperfusion?

Oliguria
Mental status change
Lactic Acidosis

9

WHat is septic Shock?

Sepsis that persists after fluid recussitation.

10

What is severe sepsis?

Sepsis asociated with organ dysfunction, hypoperfusion, or hypotension

11

What are the most common organisms that cause early onset sepsis?

Group B Strep
E. Coli
Lysteria Monocytogenes
Most are acquired from mom's GU tract
(GEL)

12

What are the common presentations of newborn sepsis?

Poor feeding
Dec response ot stimuli
Dec tone
Temp instability
Vom/Diar
Resp distress
CV instability
Color Changes

13

WHat are factors that increase risk of early onset sepsis?

ROM >18 hrs
Mom chorioamnionitis
Mom temp > 38during labor
Previous infant with GBS
Maternal age

14

WHat is the Tx of Early/Late onset sepsis?

Ampicillin and Aminoglycoside (2nd gen ceph)
2-3rd gen ceph and/or vanco
Late onset more likely to present with meningitis.

15

What is occult Bacteremia?

Bacteremia is IDed in Pts without signs of sepsis
Dont have underlying chronic medical conditions

16

What is the most common cause of occult bacterimia?

Strep Pneumo

17

What is the Tx for Occult Bacteremia?

Blood culture and IM Ceftriaxone

WBC count >15k obtain blood culture and give ceftriaxone