Flashcards in Test #2 Sepsis ARTICLES- Dwayne Deck (12):
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
SIRS with evidence of infection
The golden hours?
first 6 hrs of resuscitation of the septic Pt and usually coincide with surgery
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.
Norepi and low dose vaspressin (0.03 uinits/min)
Which inotrope is recommended to add to vasopressors in septic Pts
Dobutaimine is the 1st line therapy
For soft tissue infection of the abd and thorax what imaging technique should be used?
The MAC of inhaled anesthetics is increased in sever sepsis Pts? T/F
False it is reduced
adequate tissue oxygen is assessed by ?
Lactic acid < 2 and mix-venous O2 sat >70
Low pressure settings, high FIo2, Low tidal volumes (6ml/kg), permissive hypercapnia are considered ok if ?
the pH is >7.2
sodium bicarb is not recommended for correcting pH less then?