Sepsis Flashcards
Gram ______ bacteria are the pathogens that are most commonly isolated from patients with sepsis
positive
What do you need in order to meet sepsis?
2 SIRS + confirmed OR suspected infection
How can you meet the SIRS criteria?
T > 100.4 or < 98.6 RR > 20 HR > 90 WBC > 12,000 or < 4000 or > 10% bands PCO2 < 32
What is the qSOFA?
an illness severity score used to predict mortality of critically ill patients
________ is superior to qSOFA for sepsis prognostication
lactate
Don’t forget these two things on your differential for a fever?
malignancy and rheumatological
A lactate > than _____ is bad
2
At a CD4 count < _____ you should ppx someone with bactrim who has HIV
200
Things that cause a type 1 MI?
STEMI
Things that cause a type 2 MI? (means that you are not actively having an infarction but your trop is elevated)
- demand/sepsis
- heart failure
- volume overload (cirrhosis)
In any type of AKI what is important to calculate? and why is this important?
Need to calculate a FeNa
Can help determine the type of AKI. The FENa calculation estimates the percentage of sodium filtered by the kidneys that ends up being excreted into the urine
In any UTI patient you want to make sure you cover for what two pathogens?
MRSA and pseudo
What is the CURB 65 criteria?
Confusion BUN >19 R >/=30 SBP <90 or DBP = 60 Age > 65
What is the difference between type A and type B lactic acidosis?
Type A=all shock states (septic, cardiogenic, hypovolemic, obstructive)
Type B=defined as not having to do with tissue hypoxia or hypoperfusion
in the inpatient setting, should patients with suspected aspiration pneumonia receive additional anaerobic coverage?
Not routinely unless lung abscess or empyema
