sepsis

Question 1

sepsis define

septic

Answer 1

life threatening organ dysfunction caused by dysregulated host response to infection
septic shock: subset of sepsis with circulatory and cellular/metabolic dysfunction associated with higher risk of mortality

Question 2

sSOFA

Answer 2

Sequential [Sepsis-related] Organ Failure Assessment (SOFA)

Question 3

glasgow coma scale

Answer 3

eye response
motor response
verbal response

Question 4

septic shock

Answer 4

Despite adequate fluid resuscitation unable to maintain a
MAP ≥ 65mm hg
Serum lactate level > 2mmol/L

Question 5

diagnosis

Answer 5

qSPOFA >/= 2 
assess for evidence of organ dysfunction 
monitor critical condition 
fluid resuscitation 
vasopressors required?
serum lactate level 

qSOFA variables
RR mental status
systolic BP

SOFA variables 
PaO2 
FiO2 
GCS 
MAP 
administration of vasopressors 
serum 
creatinine 
urine output 
bilirubin
platelet count

Question 6

medical treatment

Answer 6

Broad spectrum antibiotics (infection)

Intravenous fluid (hypovolaemia)

Support CV system (Inotropes and Vasopressors)

Oxygen therapy – mechanical ventilation may be required

Dialysis (Kidney failure)

Stress ulceration prophylaxis

Nutritional support

Sedation/analgesia

Question 7

multi organ failure

Answer 7

may follow sepsis or any process that makes excessive demands on O2 consumption

Question 8

physiotherapy treatment AIMS

Answer 8

Therapies/techniques/modalities

Precautions: high temperature (short treatment)