Sepsis Flashcards
what is the definition of sepsis
systemic illness caused by microbial invasion of normally sterile parts of the body
unbalanced of anti- inflammatory and inflammatory mediators leading to organ failure
what does qSOFA mean
quick systemic organ failure assessment
what does it assess
1 for low blood pressure systolic <100
1 for high res rate >22
1 for altered mental state <15 GCS
name physical barriers to sepsis
musical barrier
skin
epithelial lining
describe the pathophysiology of sepsis
uncontrolled inflammatory response
inability to clear infection
name the first phase in pathogenesis of sepsis
release of bacterial toxins, bacterial invasion into the body tissues
name the second phase
release of mediators in response to infection
name the 2 types of mediators
pro inflammatory mediators
compensatory anti-inflammatory mediators
name stage 3
effects of specific excessive mediators
describe general clinical features of sepsis
fever>38 chills, sweats tachycardia>90 tachyopnea>20 altered mental status
what is sepsis 6
give 3:oxygen, IV fluids, IV antibiotics
take 3: blood cultures, blood lactate, urine output