Sepsis

Question 1

5 components of the inflammatory process

Answer 1

Cell injury, Chemical mediators, vasodilation, vascular permeability, and immune system activation

Question 2

Temp to fit SIRS criteria

Answer 2

> 38 or <36

Question 3

Heart rate to fit SIRS criteria

Answer 3

> 90

Question 4

What is the PaCO2 or RR to fit SIRS criteria?

Answer 4

<32mmHg or RR >20

Question 5

What is the WBC count to classify as SIRS?

Answer 5

> 12 or <4

Question 6

What are the early mediators for SIRS?

Answer 6

TNF and IL-1

Question 7

Why does vasodilation occur in SIRS?

Answer 7

to help deliver oxygen, glucose, and increase transport of cells

Question 8

3 causes of sepsis

Answer 8

bacteria, virus, fungi

Question 9

How many SIRS criteria does a patient need to have to be considered septic?

Answer 9

2 or more

Question 10

When are vasopressors given to treat septic shock?

Answer 10

If patient symptoms are unresolved by fluids and require vasopressors

Question 11

Which lab is considered a measurement of perfusion in sepsis?

Answer 11

lactic acid

Question 12

What is an important adverse side effect of antibiotics?

Answer 12

decrease in blood pressure, resulting in extreme hypotension

Question 13

Why is vasopressin given for sepsis treatment?

Answer 13

ADH levels are depleted during sepsis