L12 - Sepsis Flashcards

1
Q

systemic inflammatory response syndrome (SIRS)

A

Two or more of the following:

  • fever
  • elevated or low WBC
  • tachycardia
  • tachypnea
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2
Q

sepsis

A

SIRS plus infection

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3
Q

severe sepsis

A

sepsis that is accompanied by low blood pressure treatable with fluids

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4
Q

septic shock

A

sepsis with hypotension that does not resolve with fluids

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5
Q

initiators of sepsis

A

PAMPs, superantigens, DAMPs

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6
Q

LPS in sepsis

A

binds with CD14 via TLR4; results in TNFa, IL-1, and IL-6

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7
Q

IL-10

A

anti-inflammatory cytokine

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8
Q

treatment of sepsis

A
  1. stabilize
  2. clear microorganisms
  3. remove focus of infection
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9
Q

Two or more of the following:

  • fever
  • elevated or low WBC
  • tachycardia
  • tachypnea
A

systemic inflammatory response syndrome (SIRS)

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10
Q

SIRS plus infection

A

sepsis

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11
Q

sepsis that is accompanied by low blood pressure treatable with fluids

A

severe sepsis

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12
Q

sepsis with hypotension that does not resolve with fluids

A

septic shock

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13
Q

anti-inflammatory cytokine

A

IL-10

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14
Q

epidemiology of sepsis

A
  • age: young or old
  • underlying disease: neutropenia, chronic conditions, AIDS
  • surgery or instrumentation
  • prior drug therapy
  • other: childbirth, trauma, ulceration
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15
Q

sepsis cascades

A
  • complement
  • kinin-kallikrein
  • coagulation
  • fibrinolysis
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16
Q

sepsis complement pathway

A

mast cell activation due to C5a; causes vasodilation

17
Q

sepsis kinin-kallikrein pathway

A

generation of kinins, such as bradykinin; causes hypotension

18
Q

sepsis coagulation cascade

A

DIC, thrombosis

19
Q

sepsis fibrinolysis pathway

A

normally promotes clot resolution but is inhibited during sepsis

20
Q

clinical manifestations of sepsis

A
  • nonspecific: fever, chills, tachypnea, tachycardia
  • organ dysfunction
  • virus reactivation/secondary infection
  • death