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16 Cards in this Set
- Front
- Back
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What are 5-6 sx of TSS?
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-High fever
-Sunburnlike Rash -Low blood pressure -N/V -Myalgias -Confusion |
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What are an elevated hemoglobin and serum creatinine signs of?
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-Hemoconcentration
-Renal dysfunction |
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What are the 4 steps in therapy and management of Toxic Shock Syndrome?
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1. Isotonic IV fluids
2. IV Nafcillin or Vancomycin 3. Monitor Urine output 4. Monitor BP, give Dopamine if needed |
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What is TSS caused by?
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The exotoxin of Staph Aureus
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What is the most SIGNIFICANT issue in diagnosing and treating TSS?
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Blood pressure/Hypotension
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Why is it so important to manage the hypotension in TSS AGGRESSIVELY?
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To maintain perfusion of the BRAIN.
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After maintaining BP with isotonic IV fluids what should you do to monitor urine output and renal perfusion?
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Place a foley catheter
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What is the goal MAP to shoot for maintaining in txmt of TSS?
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At least 65
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What is MAP?
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2/3SP + 1/3DP
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What are 2 predisposing factors to TSS?
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-Barrier contraceptives
-Tampons |
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How does the exotoxin of S. aureus enter the circulation?
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Through micro-ulcerations on the vagina
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What is the most CHARACTERISTIC sign of TSS?
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The SKIN Changes
-Sunburn rash in first 48 hrs -Maculopapular rash after several days -Desquamation after 10 days |
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Where is the desquamation 10 days after TSS esp noticeable?
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Palms and soles
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What is a rare invasive method of monitoring hemodynamic function in TSS?
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Swan-ganz line or central venous catheter
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The best antibiotic therapy for TSS is:
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IV Nafcillin or vancomycin
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What drugs are given if fluids are insufficient in maintaining adequete BP themselves?
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IV Dopamine or Dobutamine
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