L12 - Sepsis Flashcards
systemic inflammatory response syndrome (SIRS)
Two or more of the following:
- fever
- elevated or low WBC
- tachycardia
- tachypnea
sepsis
SIRS plus infection
severe sepsis
sepsis that is accompanied by low blood pressure treatable with fluids
septic shock
sepsis with hypotension that does not resolve with fluids
initiators of sepsis
PAMPs, superantigens, DAMPs
LPS in sepsis
binds with CD14 via TLR4; results in TNFa, IL-1, and IL-6
IL-10
anti-inflammatory cytokine
treatment of sepsis
- stabilize
- clear microorganisms
- remove focus of infection
Two or more of the following:
- fever
- elevated or low WBC
- tachycardia
- tachypnea
systemic inflammatory response syndrome (SIRS)
SIRS plus infection
sepsis
sepsis that is accompanied by low blood pressure treatable with fluids
severe sepsis
sepsis with hypotension that does not resolve with fluids
septic shock
anti-inflammatory cytokine
IL-10
epidemiology of sepsis
- age: young or old
- underlying disease: neutropenia, chronic conditions, AIDS
- surgery or instrumentation
- prior drug therapy
- other: childbirth, trauma, ulceration
sepsis cascades
- complement
- kinin-kallikrein
- coagulation
- fibrinolysis