Sepsis

Question 1

Systematic Inflammatory Response Syndrome (SIRS) is the body’s response to

Answer 1

a variety of severe clinical insults

Question 2

Systemic Inflammatory Response Syndrome (SIRS) can be characterised by the presence of two or more of the following features:

Answer 2

• Temperature 38> or 90/min
• RR20/min or PACO2 <4.3kPa
• WCC 12 x 10/1

Question 3

Sepsis is defined as

Answer 3

SIRS in response to infection

Question 4

Severe sepsis is associated with

Answer 4

• Organ dysfunction

- Hypotension

Question 5

MODS is

Answer 5

Multiple Organ Dysfunction Syndrome; a state where dysfunction is seen in several organs

Question 6

What is initial management of a critically ill patient?

Answer 6

• Immediate assessment of the airway, breathing and circulation
• A brief history
• A limited examination of the relevant systems of the body
• A secondary assessment after stabilisation of the patient, including more thorough history, detailed examination by system and appropriate investigations

Question 7

Respiratory failure is suggested by signs of respiratory distress including

Answer 7

Dyspnoea, increased RR, use of accessory muscles, cyanosis, confusion, tachycardia, sweating