Sepsis Flashcards

1
Q

What does sepsis cause in the body?

A

Sepsis occurs following an immune response and the body’s release of inflammatory mediators in the presence of infectious microorganisms.

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2
Q

What are the 3 different responses of infections?

A

Host immune response
Inflammatory response
Pro-coagulant response

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3
Q

What is the host immune response?

A

When a pathogens enters the body increases white blood cells.

During this wbc’s release inflammatory mediators (prostaglandins, cytokines)

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4
Q

What are neutrophils?

A

Kill bacteria, fungi and foreign debris

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5
Q

What are monocytes?

A

Clean up damaged cells

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6
Q

What are eosinophils?

A

Kill parasites, cancer cells and involved in allergic response

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7
Q

What are monocytes in cells called and what are the responsible for?

A

Macrophages and are responsible for phagocytosis.

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8
Q

What are lymphocytes?

A

Help fight viruses and make antibodies

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9
Q

What are basophils?

A

Help with the allergic reaction

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10
Q

What are cytokines?

A

Cytokines are short-lived proteins that are released by a cell to regulate the function of another cell – thereby acting as intercellular chemical messengers

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11
Q

What are cytokines produced by?

A

Macrophages and activated lymphocytes

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12
Q

What do cytokines mediate?

A

Acute-phase response (raising temperature to battle illness)

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13
Q

What is the inflammatory response?

A

The different inflammatory mediators attempt to trap the pathogen to prevent further damage.

These mediators normally:
Dilate blood vessels causing warmth and redness
Swelling due to increased movement of fluid
Pain occurs as nociceptors are triggered.

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14
Q

What is a cytokine storm?

A

When all of the inflammatory mediators go though the whole body in the blood stream. This causes excessive cytokine release.

Causes:
Vasodilation
Increased capillary permeability
Breakdown of endothelial cell walls.

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15
Q

What is the procoagulant response?

A

Blood clotting.

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16
Q

What is thrombin?

A

Thrombin is the principal clotting factor and is central to the activation of coagulation.

Comes from a protein called tissue factor

17
Q

What do bacteria and cytokines do in the procoagulant response?

A

Bacteria and cytokines lead to tissue factor activating the coagulation cascade which ultimately leads to thrombin formation and the impairment of fibrinolysis

18
Q

What is neutropenic sepsis?

A

Patients are immunosuppressed so their leukocytes are reduced specifically their neutrophils.
This is classed as neutropenic sepsis.

19
Q

What are the 4 H’s of cardiac arrest?

A

Hypoxia
Hypothermia
Hypo/hyperkalemia
Hypovolemia

20
Q

What are the 4 T/s of cardiac arrest?

A

Toxins
Tension pneumothorax
Tamponade
Thrombosis

21
Q
A