Test #2 Sepsis ARTICLES- Dwayne Flashcards Preview

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Flashcards in Test #2 Sepsis ARTICLES- Dwayne Deck (12):
1

SIRS (systemic inflammatory response syndrome)

2 or more of the following define SIRS
temp > 38 degrees C, Hr >90, Resp > 20 min or PaCo2< 43

2

Sepsis is

SIRS with evidence of infection

3

The golden hours?

first 6 hrs of resuscitation of the septic Pt and usually coincide with surgery

4

Hypotensive septic Pts need volume resusitation to the following end points

CVP 8-12, MAP 65, urine output 0.5 ml/kg, central venous O2 sat >70,Hct >30.

5

Vasopressors support

Norepi and low dose vaspressin (0.03 uinits/min)

6

Which inotrope is recommended to add to vasopressors in septic Pts

Dobutaimine is the 1st line therapy

7

For soft tissue infection of the abd and thorax what imaging technique should be used?

CT

8

The MAC of inhaled anesthetics is increased in sever sepsis Pts? T/F

False it is reduced

9

adequate tissue oxygen is assessed by ?

Lactic acid < 2 and mix-venous O2 sat >70

10

Low pressure settings, high FIo2, Low tidal volumes (6ml/kg), permissive hypercapnia are considered ok if ?

the pH is >7.2

11

sodium bicarb is not recommended for correcting pH less then?

7.1

12

Hydrocortisone 200 mg Q day is recommended in septic pts for 7 days T/F

ture