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11 Cards in this Set

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Hit much urine should be produced within an hr

0.5mls

Pathophysiology of sepsis

Infection- immune response - vasodilation - increased vascular permeability - increased cardiac output - dissemintated intramuscular coagulation

What are the most common sites & sources of sepsis

Lungs


Urinary tract


Pelvis


Post surgical


Skin infection


Abdomen

What are the 3 treatments for sepsis?

IV antibiotics


High flow o2


Intravenous fluid resuscitation

What are the 3 tests for sepsis?

Blood cultures


Check lactate levels


Monitor urine output

What kind of bag is used for high foox o2 when treating a woman with sepsis?

A non re breathable bag with reservoir and oxygen at 10l per min

Why are IV fluids given to a septic woman? & give an example

To reduce organ dysfunction and multi organ failure



Optimises tissue o2 delivery


Increases organ perfusion



E.g. 20-30mls Hartmans

What does lactate show?

Tissue oxygen delivery overview


More than 4 = severe sepsis



Should ideally be less than 2!

How does sepsis effect urine output?

Acute kidney injury in those with sepsis



64.4%



Urometer essentiall for hourly monitoring of input & output



Goal = > 0.5ml/kg/hr

What is sepsis?

Sepsis is a common and potentially life threatening condition triggered by an infection

Does sepsis contain high BP or low BP?

Low BP