Multisystem Challenges & End of Life Care Exam |
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Terms in this set (74)
What are S&S of localized - Redness
inflammatory response? - Heat
- Swelling
- Pain
What are S&S of systemic - Elevated WBC count
inflammatory response? - Fever
- Malaise
Define systemic inflammatory A proinflammatory response affecting the entire
response syndrome (SIRS) body in response to a non-specific insult of
infectious or non-infectious origin.
What is the most common cause of Sepsis syndrome
SIRS?
Which patients are at risk for SIRS? - Chronic diseases
- Immunocompromised
- Drug and ETOH use
- Cardiopulmonary bypass
- Obesity
, Explain the criteria for SIRS 2+ of the following are new to the patient:
- Core temperature <36 or >38.3
- HR >90 BPM
- RR >20 or PaCO2 <32
- WBC <4 or >12
How does neutropenia influence Only one new symptom is needed to meet the
SIRS criteria? criteria.
How does SIRS progress to MODS? SIRS > early sepsis > severe sepsis >
shock/MODS/death
What is done in the "magic hour" 1. Contact the physician within 15 minutes
after sepsis is diagnosed? 2. Obtain PPO
3. Implement PPO within 60 minutes
Explain cultures in terms of sepsis - 2 sets blood STAT
management - 3 sets if endocarditis is suspected
Explain fluids in terms of sepsis - Large bore IV
management - Bolus fluids
- Repeat vitals and administer further fluids based
on orders
Explain antibiotics in terms of sepsis - Broad spectrum given until C&S results are
management confirmed
- Administer STAT within 1 hour
Explain blood work in terms of sepsis - Lactate
management - CBC and differential
- Renal panel
- ABGs
- Serum blood glucose