Recognising the sick patient

Question 1

what is the weil definition of shock?

Answer 1

Reduction of effective blood flow and inadequate tissue perfusion with decreased delivery of oxygen to the capillary exchange bed.

Question 2

What does the oxygen delivery index include?

Answer 2

Cardiac output, Haemoglobin, oxygen sats are the main things

Question 3

what is normal oxygen delivery index?

Answer 3

20-25 litres per minute.

Question 4

what are problems with inadequate oxygen delivery?

Answer 4

Pyruvate can’t go into the krebs cycle so leads to carbon dioxide, lactate and hydrogen ion build up.

Question 5

what is the traditional approach to the sick patient?

Answer 5

A= airway and oxygenation
B= Breathing and ventilation
Circulation and shock
Disability

Question 6

what is one of the most important signs of clinical deterioration?

Answer 6

Respiratory rate

Question 7

What are causes of a low resp rate?

Answer 7

Drug related or neurological

Question 8

what are causes of a high resp rate?

Answer 8

Key sign of a sick patient

Question 9

what are the phases of septic shock?

Answer 9

Failure of arterial tone

Increase in CO for oxygen delivery

Question 10

What is a fluid challenge?

Answer 10

You give excess fluid to increase preload and therefore contraction

Question 11

what is a positive response for a fluid challenge?

Answer 11

Heart rate decrease
mean arterial pressure increase
Arterial pulse pressure increase
Urine output increase
Lactate clearance increase