hydrocephalus + sepsis

Question 1

triad or normal pressure hydrocephalus

Answer 1

urinary uncontinance, gait abnormality, dementia

wet, wacky, wobbly

Question 2

CSF and ventricles hydro

Answer 2

CSF pressure normal

ventricles chronically dilated

Question 3

cause of it hydro

Answer 3

can be secondary to head injury, SAH, meningitis

Question 4

treatment of hydro

Answer 4

ventriculoperitoneal shunt (CSF-> abdomen to get absorbed)

Question 5

SIRS

Answer 5

non specific clinical response and 2 or more of:

temo >38 or <36
HR >90
RR>20
WCC >12000 or <4000 or >10% immature neutrophils

Question 6

sepsis

Answer 6

SIRS with presumed or confirmed infectious process

Question 7

severe sepsis

Answer 7

sepsis with signs or at least one acute organ dysfunction:

renal, resp, hepatic, haem (DIC), CNS, unexplained metabolic acidosis, cardiovascular (hypotension)

Question 8

septic shock

Answer 8

BP stays low even after IV fluids

Question 9

Sepsis 6

Answer 9

give fluids, high flow o2, IV ABs

take UO, blood cultures, lactate and FBC

Question 10

target o2 for normal px

copd

Answer 10

94-98%

88-92%