Criteria for SIRS and Sepsis

Question 1

What is SIRS?

Answer 1

Systemic inflammatory response syndrome

Question 2

T/F: Inflammatory response can occur without infection

Answer 2

True

*but once localized infection becomes systemic then it is considered sepsis bc whole body is involved (virus, bacteria, fungus can cause)

Question 3

Generalized systemic inflammation in organs remote from initial injury

Answer 3

SIRS

Question 4

Etiology of SIRS

Answer 4

Infection

Noninfectious source (Thromboembolism, autoimmune disorders, pancreatitis)

Question 5

How many symptoms must be present to dx SIRS?

Answer 5

2 or more

Question 6

SIRS symptoms

What is temp?

Answer 6

More than 38 or less than 36

Question 7

SIRS symptoms

What is HR?

Answer 7

Over 90 bpm

Question 8

SIRS symptoms

What is RR?

Answer 8

Over 20 OR PaCO2 less than 32

Question 9

SIRS symptoms

What is WBC?

Answer 9

More than 12000 or less than 4000 or more than 10% immature bands

Question 10

When SIRS is a result of infection

Answer 10

Sepsis

Question 11

What is sepsis due to?

Answer 11

Gram neg bacteria, gram + bacteria, fungus, viruses

Question 12

How to evaluate for severe sepsis?

Answer 12

First ask: is there infection?
Second ask: Is there systemic reaction to infection?
Third ask: Is organ dysfunction present

Question 13

What if there is a “yes” answer to all 3 questions asked when you are evaluating the pt. for severe sepsis?

Answer 13

Then initiate sepsis criteria

Question 14

What is sepsis caused by?

Answer 14

Distributive shock

Question 15

What are symptoms of sepsis?

Answer 15

The systemic response to infection symptoms