Sepsis

Question 1

Cardiovascular symptoms of shock

Answer 1

decreased cardiac output
increased HR
decreased BP
flat neck veins

Question 2

Respiratory symptoms of shock

Answer 2

increased RR
shallow breathing

Question 3

Kidney symptoms of shock

Answer 3

decreased urine output

Question 4

Sepsis vs Septic Shock

Answer 4

sepsis is life threatening organ dysfunction brought on by infection

septic shock is the last most severe stage of sepsis itself

Question 5

Stages of shock

Answer 5

Initial
compensatory
progressive
refractory

Question 6

Initial stage of shock

Answer 6

decrease in MAP 5-10
mild vasoconstriction
increased HR

Question 7

Compensatory stage of shock

Answer 7

Decreased in MAP 10-15
moderate vasoconstriction
increased HR
decreased pulse pressure
chemical compensation
decreased urine output

Question 8

Progressive stage of shock

Answer 8

decrease in MAP >20
anoxia
hypoxia
tissue ischemia

Question 9

Refractory stage of shock

Answer 9

severe tissue hypoxia with necrosis
multiple organ dysfunction syndrome

Question 10

Risk factors to sepsis

Answer 10

malnutrition
80 years old or older
open wounds
CKD
HIV

Question 11

s/s of shock

Answer 11

tachycardia
hypotension
increased cardiac output
decreased urine output
high lactic acid

Question 12

Hour 1 bundle for sepsis management

Answer 12

1.) measure lactate
2.) obtain blood cultures before giving antibiotics
3.) give broad spectrum antibiotics
4.) begin rapid administration of 30 ml/kg of crystalloid
5.) vasopressors if fluid resuscitation did not work