Sepsis

Question 1

SIRS Criteria

Systemic Inflammatory Response Syndrome

Answer 1

1. Temperature Above 100.4 or Below 96
2. HR Tachycardia >90bpm
3. Tachypnea >22breaths per min
4. WBCs >12000 or <3000

Question 2

Sepsis

Answer 2

Infection Overwhelms the Bodies Defenses

Question 3

Sepsis S/S

Answer 3

*Altered Mental Status
*Fever, WBC >12000
*Tachycardia >90bpm
*Tachypnea >2bpm
*Hypotension
Decreased Cap. refill-Mottling

Question 4

Mean Arterial Pressure

Answer 4

> 65

Question 5

Early Signs Septic Shock- COMPENSATING

Answer 5

• Warm/Flushed Skin
• Decreased BP, Increase HR, RR, Fever
• Anxiety, Restlessness

Question 6

Late Signs Septic Shock- UNCOMPENSATED

Answer 6

• Vasoconstriction
• Cold/Clammy, Decreased Cardia Output
• RF-Oliguria
• Coma, Severe Hypotension, Hypothermia

Question 7

1st Intervention for Septic Shock

Answer 7

Increase Perfusion- Fluid replacement (NS) 30ml/kg

Question 8

2nd Intervention if 1st doesn’t work

Answer 8

Vasopressors (Norepinephrine)

Question 9

Vasopressors (action)

Answer 9

Increase Systemic Vascular Resistance, BP, MAP, CVP,

Question 10

Norepinephrine Interventions

Answer 10

1. Admin. Central Venous Line

2. Monitor for Dysrhythmias.

Question 11

What can be given if BP still low after fluids/vasopressors given?

Answer 11

Inotropic-Dobutamine (CVL admin) Increases heart contraction

Question 12

Vasoactive Drugs

Answer 12

Vasopressors, Vasodilators

Question 13

Diagnostic Tests

Answer 13

CBC, Lactate, Glucose

Question 14

Central Venous Pressure

Answer 14

8-12mmHG- RIGHT SIDE OF HEART

Question 15

Others Drugs Used in Septic Shock

Answer 15

Steroids (Hydrocortisone)
Broad Spec. Antibiotics
PPI (Omeprazole)
VTE Prophylaxis (Heparin, Enoxaparin)

Question 16

Heparin

Answer 16

Clot Prevention- PTT

Question 17

Warfarin

Answer 17

Clot Prevention- INR