Criteria for Severe Sepsis and Septic Shock Flashcards
What lab assessments do we look at for severe sepsis screening?
- Temp
- RR
- HR
- WBC
- Lactate
- UOP
- PaO2/FiO2
Severe Sepsis Screening:
Temp
greater 38.3
less than 36
Severe Sepsis Screening:
RR
greater than 20
Severe Sepsis Screening:
HR
greater than 90
Severe Sepsis Screening:
WBC
greater than 12,000
less than 4000
Severe Sepsis Screening:
Lactate
less than 4
Severe Sepsis Screening:
infection?
the source should be suspected
Severe Sepsis Screening:
UOP
less than 0.5 mL/kg/hr for 2 hours
Severe Sepsis Screening:
PaO2/FiO2
less than 200
What of shock is septic shock?
Distributive
What has occurred in the body once a pt gets to septic shock?
multiple organ failure
Septic shock CV:
vasodilation or constriction?
Vasodilation!!
**why can’t get up BP
Septic shock CV:
Preload
CO
Preload reduced
CO increased
Septic shock CV:
Tissue perfusion
Decreased
**inadequate oxygen delivery to cells
Septic Shock Endocrine:
PNS or SNS stimulated?
SNS
**ACTH