Sepsis Flashcards

1
Q

The primary tissue or organ that is targeted in sepsis is

A

endothelium (Cells that line the blood vessels).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Sepsis is defined as life-threatening organ dysfunction caused by a _ response to infection.

A

dysregulated host

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The increased respiratory rate in sepsis is due to

A

increased hydrogen ion concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Hypotension in hyperdynamic sepsis is due to …

A

a. loss of intravascular volume and impaired cardiac contractility
b. impaired vascular tone and loss of intravascular volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Source control in cases of suspected bacterial sepsis always includes all of the following except…

A

surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

RED ZONE CRITERIA: BP, LACTATE, BASE

A

SBP <90 MMHG
LACTATE >4MM/OL
BASE EXCESS <5.0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

YELLOW ZONE; RR, SP02, SBP, HR, LOC, TEMP

A
<10 >25 RR
Sp02 <95%
SBP <100 mmhg
HR <50 > 120
LOC
Temp <35.5 or >38.5
Lactate >2 mm/ol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Fluid resus ; ED and Ward protocol

A

Emergency Department Give initial 20mL/kg bolus STAT, if no response repeat 20mL/kg STAT

Inpatient Initial 250-500mL bolus STAT, if no response repeat 250-500mL STAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fluid resus aim

A

Use crystalloid e.g saline

Systolic above >100 mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Sepsis 6

A
  1. Hudson’s mask
  2. Blood cultures
  3. Blood e.g. lactate
  4. antibiotics
  5. fluids resus
  6. monitor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Priorities after blood e.g. lactate

A

Antibiotics and Fluid resus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

antibiotic for neutropenic

A

> 30 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

septic shock or meningococcal

A

> 1 hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

other spesis

A

> 2 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly