sepsis

Question 1

most common cause of sepsis

Answer 1

pneumonia

Question 2

life threatening organ dysfunction caused by a dysregulated host response to infection.

Answer 2

sepsis

Question 2

what is first priority in early management of sepsis

Answer 2

fluid resuscitation

Question 3

most common systems involved in sepsis infections

Answer 3

respiratory
gastrointestinal
genitourinary
skin and soft tissue

Question 4

what to do if hypotension persists despite fluid administration

Answer 4

vasopressor therapy

Question 4

SIRS is defined as the presence of at least two of the following

Answer 4

-temp greater than 100.4 or less than 96.8
-HR greater than 90 bpm
-RR greater than 20 breath per minute
- partial pressure of CO2 less than 32mm Hg
- WBC count greater than 12,000 per uL or less than 4,000 uL

Question 5

when is qSOFA used

Answer 5

ER

Question 6

when is SOFA used

Answer 6

ICU

Question 7

sepsis should be suspected in patients meeting at least two of the three qSOFA criteria:

Answer 7

-RR of 22 bpm or greater
-altered mental status
-systolic blood pressure of 100 mm Hg or less

Question 8

order of sepsis management

Answer 8

1. initial airway and respiratory stabilization
2. sepsis bundle (fluid resuscitation– saline in two different large bore IV sites, lactate measurement, cultures)
3. initiate antibiotics
4. vasopressor therapy (norepinephrine or epi)
5. hydrocortisone

Question 9

most common manifestation of sepsis

Answer 9

fever

Question 10

what labs should be included

Answer 10

CBC
BMP
lactate (septic shock)
procalcitonin (indicator for bacterial sepsis)
liver enzyme measurement
coagulation studies
UA

Question 11

septic shock is the same as

Answer 11

distributive