P5 PATHOLOGY Flashcards
systemic response to an infection
sepsis
life threatening organ dysfunction caused by dysregulated host response to infection
sepsis
sepsis clinical criteria
at least 3 of the these 3 :
- altered mentation
- RR of 22/min or greater
- SBP of 100 or less
severe sepsis is characterised by
- oliguria
- lactic acidosis
- reduced CO
- altered mentation / coma
- resp. Distress
profound circulatory , cellular , metabolic abnormalities associated with greater risk of mortality
septic shock
septic shock is clinically identified by
vasopressor requirement
Mechanisms of shock
- reduced effective blood volume
- reduced CO
microbial products that imitates sepsis
- gram +
- gram -
Starting signal of sepsis
Recognition of PAMPs
PAMPs will activates
pattern recognition receptors
give example of PRR
TLR / toll like receptor
Nitric oxide systemic effects
fever , reduced myocardial contractility
Nitric oxide vascular effects
Vasodilation , increased vascular permeability
cytokines , NO released in septic shock causes
Reduced tissue perfusion
cytokines , NO released in septic shock causes
Reduced tissue perfusion