Septic Shock Flashcards
1
Q
Clinical criteria for septic shock
A
Sepsis with fluid unresponsive hypotension
Need for vasopressors to maintain a MAP of 65mmHg
Serum lactate >2 mmol (18mg/L)
2
Q
Surgical wound classes
A
Class 1A Clean
Class 1 D clean + device
Class 2 clean contaminated
Class 3 contaminates
Class 4 dirty
3
Q
What are the 2 types of incisional SSI
A
Superficial
Deep
4
Q
Causes of SSI
A
Degree of contamination during surgery
Duration of operation
Host factors
-DM, malnutrition and obesity
5
Q
Prophylactic antibiotics
A
Broad spectrum
Give 30 to 60 prior to incision
Repeat dose if longer than 4hrs
Discontinued within 24hrs
6
Q
Resuscitation
A
Oxygen Culture Antibiotics Fluid Lactate Urine output
7
Q
How would you control ppu
A
Gastrorhaphy
