CLASP Sepsis Week Flashcards

1
Q

Can a patient present with septic shock; True or False?

A

FALSE; septic shock can only occur after attempted resuscitation

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2
Q

What is sepsis?

A

life-threatening organ dysfunction caused by a dysregulated host response to infection

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3
Q

What organism is gram positive cocci in clusters with a positive coagulate test?

A

Staphlococcus Aureus

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4
Q

What organism is gram positive cocci in clusters with a negative coagulate test?

A

Staphlococccus epidermidis

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5
Q

What is alpha haemolysis?

A

Partial with a green colour

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6
Q

What is beta haemoysis?

A

Full with a yellow/no colour

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7
Q

What is gamma haemolysis?

A

No breakdown

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8
Q

What is a complication of E.coli 0157?

A

Haemolytic uraemic syndrome (NO ANTIBIOTICS AS THEY CAN PRECIPITATE THIS)

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9
Q

What is Vancomycin used for?

A

Gram +ve

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10
Q

What is metronidazole used for?

A

Anerobes

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11
Q

What is gentamicin used for?

A

Gram -ve

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12
Q

How many blood cultures do you need to confirm endocarditis?

A

3 sets (6 bottles)

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13
Q

What is the sepsis 6?

A

Take Blood & all appropriate cultures, lactate, measure urine output, Give IV fluids, Oxygen & IV antibiotics

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14
Q

What is CURB65?

A

Confusion (new onset), urea >7, Resp Rate (>30/min), Blood pressure (systolic <90, diastolic<60), age >65

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15
Q

Describe the gram characteristics of Haemophilus influenza?

A

Gram negative cocci

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16
Q

What antibiotics are active against Haem influ?

A

amoxicillin & doxycycline

17
Q

In addition to blood & sputum what other culture might you do for someone with atypical pneumonia?

A

Urine for legionella antigens

18
Q

What are the 4 C antibiotics?

A

Co-Amoxiclav, Cephalosporins, Clindamycin, Ciprofloxacin

19
Q

Alpha haemolytic aerobic gram +ve cocci in chains

A

Strep. Pneumoniae, Strep. Viridans

20
Q

Beta haemolytic aerobic gram +ve cocci in chains

A

GAS (Strep. pyogenes), Group B strep

21
Q

Gamma Haemolytic gram +ve cocci in chains

A

Enterococcus sp.