What is the first indicator of critical Tachypnea
illness
Evidence of decreased perfusion AMS, Urine output, skin temperature
include?
DIRECT Detection, intervention, Reassessment, effective communication, teamwork
Late sign of circulatory demise hypotension
Important indicator of critical illness Metabolic acidosis -> lactacte measurement -> anaerobic metabolism
What does metabolic acidosis suggest? hypo perfusion
1st priority in managing a critical patient Stabilize first, then determine diagnosis and definitive treatment
Define Sepsis life-threatening organ dysfunction cause by host response to infection
Clinical sepsis requiring vasopressors to maintain a MAP > 65mmHg and Lactate
Define Septic Shock
> 2mmol/L despite volume resuscitation
Most common clinical presentation of Fever (hypothermia has very poor prognosis)
infection
Morbidity related to sepsis can be AMS, SBP < 100mmHg, RR > 22
predicted by...
, Antibiotic regimen for community- Beta-Lactam + Macrolide or Fluoroquinolone
acquired PNA in the immunocompetent?
Antibiotic for aspiration PNA Clindamycin
Antibiotic regimen for the community- Trimethroprim-sulfamethoxazole (bactrim) and anti fungal agent
acquired PNA in the
immunocompromised?
Antibiotic for S. Aureus? Vancomycin or Linezolid
Antibiotics for nosocomial and Cephalosporin 3rd/4th gen, Beta-lactam, or carbapenem
ventilator-associated PNA?
Antipseudomonal beta-lactam (piperacillin-tazobactam, cefepime, imipenem,
Antibiotic for pseudomonas?
meropenem)
Most common pathogens for meningitis? Neisseria and Strep Pneumoniae
Most common pathogen in severe S. Pneumoniae
community-acquired PNA?
Pathogens commonly associated with Gram-negative & S. Aureus
hospital-acquired PNA?
Necrotizing soft-tissue infections require surgical debridement and antimicrobial therapy immediately
illness
Evidence of decreased perfusion AMS, Urine output, skin temperature
include?
DIRECT Detection, intervention, Reassessment, effective communication, teamwork
Late sign of circulatory demise hypotension
Important indicator of critical illness Metabolic acidosis -> lactacte measurement -> anaerobic metabolism
What does metabolic acidosis suggest? hypo perfusion
1st priority in managing a critical patient Stabilize first, then determine diagnosis and definitive treatment
Define Sepsis life-threatening organ dysfunction cause by host response to infection
Clinical sepsis requiring vasopressors to maintain a MAP > 65mmHg and Lactate
Define Septic Shock
> 2mmol/L despite volume resuscitation
Most common clinical presentation of Fever (hypothermia has very poor prognosis)
infection
Morbidity related to sepsis can be AMS, SBP < 100mmHg, RR > 22
predicted by...
, Antibiotic regimen for community- Beta-Lactam + Macrolide or Fluoroquinolone
acquired PNA in the immunocompetent?
Antibiotic for aspiration PNA Clindamycin
Antibiotic regimen for the community- Trimethroprim-sulfamethoxazole (bactrim) and anti fungal agent
acquired PNA in the
immunocompromised?
Antibiotic for S. Aureus? Vancomycin or Linezolid
Antibiotics for nosocomial and Cephalosporin 3rd/4th gen, Beta-lactam, or carbapenem
ventilator-associated PNA?
Antipseudomonal beta-lactam (piperacillin-tazobactam, cefepime, imipenem,
Antibiotic for pseudomonas?
meropenem)
Most common pathogens for meningitis? Neisseria and Strep Pneumoniae
Most common pathogen in severe S. Pneumoniae
community-acquired PNA?
Pathogens commonly associated with Gram-negative & S. Aureus
hospital-acquired PNA?
Necrotizing soft-tissue infections require surgical debridement and antimicrobial therapy immediately
