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22 Cards in this Set
- Front
- Back
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Sepsis is a known or suspected infection accompanied by 2 or more of the SIRS criteria.
Identify 4 criteria for SEPSIS 1 - fever 2 - hyperglycemia 3 - coagulopathy 4 - tachypnea 5 - hypoxemia 6 - decreased capillary refill 7 - anuria 8 - increased serum lactate 9 - WBC changes 10- systolic <90, MAP <60, or drop in systolic >40 mmHg 11- aLtered mental state 12- unexplained metabolic acidosis 13- mottling of the skin 14- edema 15- increased creatinine 16- low pH 17- oliguria 18- tachycardia 19- prolonged PT 20- hypotension 21- pulse Ox <90 22- crackles 23- DIC |
1 - Fever
2 - Tachypnea 3 - Tachycardia 4 - WBC changes |
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With sepsis, criteria for fever is which of the following:
a) in excess of 100.4 F b) 101.0 F c) > 96.8 d) < 96.8 |
a) in excess of 100.4 F
b) 101.0 F d) < 96.8 "some say" 101.0 F if elderly <96.8 (low) |
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With sepsis, criteria for tachypnea is which of the following:
a) >20 breaths per min or PaC02 >32 b) <20 breaths per min or PaC02 <32 c) <20 breaths per min or PaC02 >32 d) >20 breaths per min or PaC02 <32 |
d) >20 breaths per min or PaC02 <32
"tacky breathing twenty thirty two PaC02" with arrows pointing toward each other |
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With sepsis, criteria for tachycardia is which of the following:
a) systolic >90 b) systolic <90 c) dystolic >90 d) dystolic <90 |
a) systolic >90
"I beat my sister 90 times" |
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With sepsis, criteria for WBC's is which of the following:
a) <12,000 b) >4000 c) >12,000 d) <4000 |
c) >12,000
d) <4000 WBC >12,000 - <4,000 |
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Identify 4 criteria for SEPSIS
1 - fever 2 - hyperglycemia 3 - coagulopathy 4 - tachypnea 5 - hypoxemia 6 - decreased capillary refill 7 - anuria 8 - increased serum lactate 9 - WBC changes 10- systolic <90, MAP <60, or drop in systolic >40 mmHg 11- aLtered mental state 12- unexplained metabolic acidosis 13- mottling of the skin 14- edema 15- increased creatinine 16- low pH 17- oliguria 18- tachycardia 19- prolonged PT 20- hypotension 21- pulse Ox <90 22- crackles 23- DIC |
1 - fever
4 - tachypnea 9 - WBC changes 18- tachycardia |
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Sepsis is:
a) hypotension which does not respond to adequate fluid resuscitation & w/tissue perfusion abnormalities b)an inadequate supply of 02 & nutrients to the tissues c) a systemic inflammatory response to a known or suspected infxn & accompanied by 2 or more of the SIRS criteria d) associated with organ dysfxn, hypotension, or poor perfusion e) a systemic inflammatory response f) a clinical syndrome resulting in decreased blood flow to body tissues causing cellular dysfxn & eventual organ failure g) a progressive failure of more than one organ |
c) a systemic inflammatory response to a known or suspected infxn & accompanied by 2 or more of the SIRS criteria
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Name the 4 S&S of sepsis.
1- _____ 2- _____ 3. _____ 4. _____ |
Fever in excess of 100.4 or in some Pt's like the elderly <96.8
Tachypnea >20 or PaC02 <32 Tachycardia >90 WBC changes high >12,000 or low <4000 |
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Severe sepsis is:
a) the presence of sepsis w/hypotension which does not respond to adequate fluid resuscitation & w/tissue perfusion abnormalities b)an inadequate supply of 02 & nutrients to the tissues c) a systemic inflammatory response to a known or suspected infxn & accompanied by 2 or more of the SIRS criteria d) associated with organ dysfxn, hypotension, or poor perfusion e) a systemic inflammatory response f) a clinical syndrome resulting in decreased blood flow to body tissues causing cellular dysfxn & eventual organ failure g) a progressive failure of more than one organ |
d) associated with organ dysfxn, hypotension, or poor perfusion
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In addition to the fever, tachypnea, tachycardia, and changes in WBC's associated with sepsis, identify the additional S&S associated with severe sepsis:
1 - hyperglycemia 2 - coagulopathy 3 - hypoxemia <93 4 - decreased capillary refill 5 - anuria 6 - increased serum lactate 7 - systolic <90, MAP <60, or drop in systolic >40 mmHg 8 - aLtered mental state 9 - unexplained metabolic acidosis 10- mottling of the skin 11- edema 12- increased urea & creatinine 13- low pH 14- oliguria 15- prolonged PT 16- hypotension 17- pulse Ox <90 18- crackles 19- DIC |
1 - hyperglycemia
2 - coagulopathy 3 - hypoxemia <93 6 - increased serum lactate 7 - systolic <90, MAP <60, or drop in systolic >40 mmHg 8 - aLtered mental state 12- increased urea & creatinine 14- oliguria |
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Identify criteria for acute oliguria which occurs in severe sepsis:
a) >5 mL/kg/hr b) <5 mL/kg/hr c) >0.5 ml/kg/hr d) <0.5 ml/kg/hr |
d) <0.5 ml/kg/hr
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Septic shock is:
a) the presence of sepsis w/hypotension which does not respond to adequate fluid resuscitation & w/tissue perfusion abnormalities b)an inadequate supply of 02 & nutrients to the tissues c) a systemic inflammatory response to a known or suspected infxn & accompanied by 2 or more of the SIRS criteria d) associated with organ dysfxn, hypotension, or poor perfusion e) a systemic inflammatory response f) a clinical syndrome resulting in decreased blood flow to body tissues causing cellular dysfxn & eventual organ failure g) a progressive failure of more than one organ |
a) the presence of sepsis w/hypotension which does not respond to adequate fluid resuscitation & w/tissue perfusion abnormalities
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Septic shock is severe sepsis w/hypotension (systole <90) which does not respond to adequate fluid resuscitation. Identify from the following S&S that are indicators that severe sepsis has progressed into septic shock:
1 - decreased capillary refill 2 - anuria 3 - unexplained metabolic acidosis 4 - mottling of the skin 5 - edema 6 - low pH 7 - oliguria 8 - prolonged PT 9 - pulse Ox <90 10- crackles 11- DIC |
1 - decreased capillary refill
2 - unexplained metabolic acidosis 4 - mottling of the skin |
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With SIRS (systemic inflammatory response) the inflammatory response releases a variety of inflammatory mediators into the system causing:
a) widespread vasoconstriction b) peripheral vasoconstriction c) widespread vasodilation d) peripheral vasodilation |
c) widespread vasodilation
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With SIRS the inflammatory response releases a variety of inflammatory medators into the system & the BP drops. This results in:
a) Dee's panties b) increased vascular resistance c) damage to vascular endothelium d) decreased systemic vascular resistance |
c) damage to vascular endothelium
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With SIRS the inflammatory response releases a variety of inflammatory mediators into the system & the BP drops resulting in damage to vascular endothelium which causes:
a) increased vascular resistance b) collateral circulation c) fluid leakage into & out of the systemic circulation d) increased BP |
c) fluid leakage into & out of the systemic circulation
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With SIRS the inflammatory response releases a variety of inflammatory medators into the system & the BP drops resulting in damage to vascular endothelium resulting in fluid leakage into & out of the systemic circulation. This activity:
a) releases fibrin into the circulatory system b) increases BP c) causes fibrinolysis d) further reduces BP |
d) further reduces BP
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With SIRS the inflammatory response releases a variety of inflammatory mediators into the system & the BP drops resulting in damage to vascular endothelium resulting in fluid leakage into & out of the systemic circulation. This activity further reduces BP. Then the:
a) inflammatory mediators form a clot in the microvasculature b) coagulation cascade is initiated to wall off the antigens by creating a clot c) vasculature is compromised with fibrinogen forming clots d) vascular resistance develops increasing BP . |
b) coagulation cascade is initiated to wall off the antigens by creating a clot
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With SIRS the inflammatory response releases a variety of inflammatory mediators into the system & the BP drops resulting in damage to vascular endothelium resulting in fluid leakage into & out of the systemic circulation. This activity further reduces BP. Then the coagulation cascade is initiated to wall off the antigens by creating a clot and:
a) systemic vascular resistance increases b) widespread vasoconstriction occurs to wall off the emboli c) additional interstial fluids leak in & out of the vasculature further decreasing BP d) the body supresses fibrinolysis so the body will have time to destroy the antigen |
d) the body supresses fibrinolysis so the body will have time to destroy the antigen
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With SIRS the inflammatory response releases a variety of inflammatory mediators into the system & the BP drops resulting in damage to vascular endothelium resulting in fluid leakage into & out of the systemic circulation. This activity further reduces BP. Then the coagulation cascade is initiated to wall off the antigens by creating a clot and the body supresses fibrinolysis so the body will have time to destroy the antigen. The net effect of this excess coagulation, exagerated inflammation, & impaired fibrinolysis is:
a) DIC b) renal failure c) pulmonary embolisms d) emboli in the microvascular circulation |
d) emboli in the microvascular circulation
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With SIRS the inflammatory response releases a variety of inflammatory mediators into the system & the BP drops resulting in damage to vascular endothelium resulting in fluid leakage into & out of the systemic circulation. This activity further reduces BP. Then the coagulation cascade is initiated to wall off the antigens by creating a clot and the body supresses fibrinolysis so the body will have time to destroy the antigen. The net effect of this excess coagulation, exagerated inflammation, & impaired fibrinolysis is emboli in the microvascular circulation. What happens as a result of these events?
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decreased blood flow to organ tissues.
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The most sensitive indicator of poor oxygenation to organ tissues is:
a) low urine output b) Puilse oximetry <90 from the nose or ears c) LOC d) pupillary response |
c) LOC
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