SIRS/MODS/SEPSIS

Question 1

SIRS/SEPSIS/MODS

Answer 1

Chapter 7 CCM 3rd edition

Question 2

What are the categories for SIRS ?

Answer 2

Hyper/hypothermia, tachycardia, tachypnea, WBC count
In dogs need 2
In cats need 3

Question 3

What is the definition of MODS

Answer 3

the presence of altered organ function in an acutely ill patient such that homeostasis cannot be maintained without intervention,

Question 4

Sepsis definition?

Answer 4

SIRS due to an infectious process

Question 5

How does the sirs criteria performed in regards to sensitivity and specificity?

Answer 5

Extremely sensitive, very poorly specific

Question 6

How was MODS classically diagnosed

Answer 6

Abnormalities in 2 or more organ systems

Question 7

As opposed to humans how may the qSOFA score be beneficial in vet?

Answer 7

In humans - more prognostic mortality regardless of presence of infection
In vet - not prognostic unless in sepsis patients (however studies very limited and use human cutoffs)

Question 8

What three criteria exist in qSOFA>

Answer 8

Mentation, RR and BP

Question 9

What does the APPLE score stand for?

Answer 9

Acute Patient Physiologic and Laboratory Evaluation

Question 10

are the SIRS criteria a prognostic indicator?

Answer 10

No

Question 11

IS there an accurate detection criteria for sepsis or any prognostic indicators?

Answer 11

No - apple scores the best