Flashcards in Sepsis Deck (15):
WHat is SIRS?
Systemic Inflammatory Response Process
What is Sepsis?
SIRS + Infection
What qualifies SEVERE Sepsis?
Evidence of organ dysfunction
What is Septic Shock?
Sepsis and Hypotension despite adequate fluid resuccitation
WHat are the Source Specific clinical Symptoms of Sepsis?
Skin: Erythema, swelling, drainage
Resp: cough, sputum, chest pain
GI: abd discomfort, pain, distention, diarrhea, N/V, jaundice
GU: dysuria, hematuria, flank pain,
Who is at risk for sepsis?
Why is the source/location of the infection important?
Can tell you what kind of bacteria, what Abtx you need to use
What labs do you order with suspected Sepsis?
CBC: Leukocytosis or penia
Thrombocytosis or penia
Coag Profile, PT, PTT, INR
What makes up SIRS Criteria?
Temp >38C(100.4) or 90
RR >20 or PaCO2 12k, 10% bands
What is the APACHE II score used for?
Determine risk of mortality in the ICU
WHat are the first steps in a Pt with possible sepsis?
What is the equation used to calc. MAP?
MAP = (SABP + 2 DABP)/3
What is the treatment of choice for fluid therapy?
Crystalloids (Lactated ringers?)
30mL/kg 2 L
1x 16 guage
2x 18 guage
What vasopressors are used in Septic Shock?