Sepse Flashcards

1
Q

Definiçao de sepse

A

Resposta inflamatoria desregulada à infecçao

Leva à disfunçao de órgãos

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2
Q

Diagnostico Sepse

A

Infecçao + SIRS

2 critérios: temperatura, FC, FR, leucograma

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3
Q

Escore qSOFA e SOFA: ponto de corte e conceito

A

Prediz risco, nao define sepse

>= 2 pontos

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4
Q

Criterios do qSOFA

A

FR> 22
PAs < 100
Glasgow 15

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5
Q

Criterios SOFA

A
Resp (Pa02/FiO2)
Coagulaçao (plaquetas)
Bilirrubina
PAM
Glasgow
Creatinina
Diurese
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6
Q

Definir choque septico

A

Sepse que precisa de vasopressor pra ter PAM>= 65

Lactato > 2mmol/L apos reposiçao volemica

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7
Q

Abordagem da sepse

A

Controle do foco
Ressucitaçao volemica (early goal)
Avaliaçao clinica
Novas medidas se nao responde

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8
Q

Controle foco infeccioso na sepse

A

Culturas + ATB na 1 hora

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9
Q

Ressucitaçao volemica na sepse

A

Volume de 30ml/kg em 3h

Avaliaçao hemodinamica: early goal

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10
Q

Avaliaçao hemodinamica early goal na seps

A

Feita apos ressucitaçao volemica

PVC: 8-12 mmHg

Diurese >=0,5 mL/kG/ hr

PAM>= 65

SVcO2>= 70%

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11
Q

Avaliaćao clinica pos ressucitaçao volemica na sepse

A

PAM, diurese, FC, FR

Quando disponivel:
Lactato
ECO, delta pp, PVC, SVcO2

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12
Q

Apos ressucitaçao volemica pct com sepse nao responde: Cd

A

Noradrenalina

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13
Q

Pct septico com nora que nao responde

A

Refratario

Corticoide (hidrocortisona 5-7d)
Transfusao (Hb< 7,0)
Dobutamina (se DC baixo)

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