Sepsis Flashcards
1
Q
Sepsis id what?
A
A syndrome
- a group of body dysfunctions found together
- dysfunctions progress together in a predictable delay
- high mortality rate, variable clinical presentations
2
Q
Sepsis Compared to Anaphylaxis
A
- both have initial injury
- both result in organ dysfunction/cardio collapse
- anaphylaxis is quick and obvious/sepsis is slow and subtle
3
Q
SIRS Criteria
A
- temp <36 C or >38 C
- HR > 90
- RR > 20
- WBC < 4000 or > 12000
4
Q
Normal Response to Infection
A
- vasodilation
- vessel permeability
- once infection is controlled tissue repairs itself
5
Q
Risk Factors for Sepsis
A
- extremes of age
- developmental delay
- neuro disorder (Cerebal Palsy)
- recent surgery
- pregancy/miscarriage
- reduced immunity
6
Q
S/S of Sepsis
A
- FEVER
- chills/shaking
- myalgias/arthralgias
- n/v
- flu like symptoms
- mental status changes
- increased fatigue/lethargy
7
Q
Fever may be the most seen symptom but who does not often appear w/ a fever?
A
Elderly
8
Q
Causes of Sepsis
A
- pneumonia
- UTI
- infection after abdominal surgery
- skin infections
- C Diff
- bacteremia from IV
9
Q
What to look for to identify sepsis?
A
- SIRS criteria in vitals
- shock/dehydration
- check end-tidal CO2
10
Q
How to Treat Sepsis
A
- SpO2 > 92%
- NRB/CPAP/invasice airway
- 2 large bore IV
- 30 ml/kg NS bolus
- may repeat if lungs remain clear
11
Q
What medication has been seen to worsen the survival rate from Sepsis?
A
Dopamine
12
Q
What medication is best for Sepsis?
A
- IV fluid resuscitation
- norepinephrine (Levophed)
- vasopressin
13
Q
Respiratory Component of Sepsis
A
- mismatch of oxygen availability to changing needs of organs
- respiratory failure happens quickly
- ARDS
14
Q
Severe Sepsis is the most common cause of what?
A
ARDS
15
Q
S/S of ARDS
A
- diffuse rales
- rhonchi
- respiratory failure
