Criteria for Severe Sepsis and Septic Shock Flashcards

1
Q

What lab assessments do we look at for severe sepsis screening?

A
  • Temp
  • RR
  • HR
  • WBC
  • Lactate
  • UOP
  • PaO2/FiO2
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2
Q

Severe Sepsis Screening:

Temp

A

greater 38.3

less than 36

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3
Q

Severe Sepsis Screening:

RR

A

greater than 20

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4
Q

Severe Sepsis Screening:

HR

A

greater than 90

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5
Q

Severe Sepsis Screening:

WBC

A

greater than 12,000

less than 4000

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6
Q

Severe Sepsis Screening:

Lactate

A

less than 4

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7
Q

Severe Sepsis Screening:

infection?

A

the source should be suspected

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8
Q

Severe Sepsis Screening:

UOP

A

less than 0.5 mL/kg/hr for 2 hours

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9
Q

Severe Sepsis Screening:

PaO2/FiO2

A

less than 200

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10
Q

What of shock is septic shock?

A

Distributive

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11
Q

What has occurred in the body once a pt gets to septic shock?

A

multiple organ failure

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12
Q

Septic shock CV:

vasodilation or constriction?

A

Vasodilation!!

**why can’t get up BP

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13
Q

Septic shock CV:

Preload

CO

A

Preload reduced

CO increased

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14
Q

Septic shock CV:

Tissue perfusion

A

Decreased

**inadequate oxygen delivery to cells

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15
Q

Septic Shock Endocrine:

PNS or SNS stimulated?

A

SNS

**ACTH

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16
Q

Septic Shock Endocrine:

Which hormones release?

A
  • epinephrine
  • norepinheprine
  • glucocorticoids
  • aldosterone
  • glucagon
  • renin
17
Q

Main 3 symptoms of septic shock?

A
  1. lactic ACIDOSIS
  2. Oliguria
  3. Mental status alterations