Transition & Sepsis

Question 1

Low blood pressure that does not come back up when IV fluids are given is diagnostic of septic shock

Answer 1

True

Question 2

Dizziness is a recognised side effect of gentamicin

Answer 2

True

Question 3

Steroids are best given with or just before the first dose of antibiotics if they are indicated in a patient with bacterial meningitis

Answer 3

True

Question 4

Listeria infection is associated with consumption of?

Answer 4

Soft cheese

Question 5

Why is ceftriaxone chosen for empirical treatment for suspected bacterial meningitis instead of penicillin?

Answer 5

Ceftriaxone has a longer half-life than penicillin

Question 6

What are the 3 components of qSOFA?

Answer 6

RR >22BPM
sBP <100mmHg
Altered GCS

Question 7

What are the four sirs criteria?

Answer 7

fever >38.0°C or hypothermia <36.0°C
tachycardia >90 beats/minute
tachypnea >20 breaths/minute
leucocytosis >12109/l or leucopoenia <4109/l

Question 8

How many compnents of SIRS so you need to suggest sepsis?

Answer 8

2 or more

Question 9

What is septic shock?

Answer 9

Sepsis plus organ dysfunction

Question 10

How long should duration of Gentamicin treatment be limited to?

Answer 10

72 hours (more ID approval required)
24 hours if renal dysfunction concern

Question 11

What needs to be monitored DAILY when using Gentamicin?

Answer 11

Renal function due to nephrotoxicity concern.