Pediatric Sepsis Flashcards
WHat qualifies a fever?
38 deg celcius (100.4 far)
WHat are the common ways to measure body temperature?
Axilla
Oral
Rectal
Tympanic
What are considered elevated vitals in infants?
Temp >38 or 90 or 2SD above mean
RR > 30 or 2 SD above mean
PaCO2 15k, 10% of WBC
What is bacteremia?
Fungemia, viremia, parisitemia?
Presence of viable bacteria in the blood
What is MODS?
Presence of altered organ function in an acutely ill patient => physiologic Homeostasis cannot be maintained without intervention.
What is sepsis?
SIRS with infection
What is SIRS
Systemic Inflammatory Response Syndrome
WHat are signs of systemic hypoperfusion?
Oliguria
Mental status change
Lactic Acidosis
WHat is septic Shock?
Sepsis that persists after fluid recussitation.
What is severe sepsis?
Sepsis asociated with organ dysfunction, hypoperfusion, or hypotension
What are the most common organisms that cause early onset sepsis?
Group B Strep E. Coli Lysteria Monocytogenes Most are acquired from mom's GU tract (GEL)
What are the common presentations of newborn sepsis?
Poor feeding Dec response ot stimuli Dec tone Temp instability Vom/Diar Resp distress CV instability Color Changes
WHat are factors that increase risk of early onset sepsis?
ROM >18 hrs Mom chorioamnionitis Mom temp > 38during labor Previous infant with GBS Maternal age
WHat is the Tx of Early/Late onset sepsis?
Ampicillin and Aminoglycoside (2nd gen ceph)
2-3rd gen ceph and/or vanco
Late onset more likely to present with meningitis.
What is occult Bacteremia?
Bacteremia is IDed in Pts without signs of sepsis
Dont have underlying chronic medical conditions
