compensatory stage SEPSIS s/s
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warm flushed skin, increased temp, bounding pulse
ESRD neprhrologist
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evaluate and manage kidney function
septic shock nursing management
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identify pts at risk.
screen pts for sever sepsis
strict aseptic technique
prevent concomitant infections
administer fluid and drugs- THIS WILL GET RID OF INFECTION
monitor drug response
WOTF is not criteria s/s for dx SIRS
1. RR > 20
2. HR <60
3. Temp >100.4
4. PaCO2 <32
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2. HR <60 ANSWER
Dopamine for septic shock
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, HIGH dose 10-20mcg/kg/min
for vasoconstriction
patient in compensatory stage of septic shock. WOTF s/s does the nurse EXPECT
1. warm dry skin
2. cool/clammy skin
3. cyanotic skin
4. ashen skin
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1. warm dry skin
progressive stage effects on GI system
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bacterial translocation. increased NH3 (ammonia). increased lactate.
Phases of acute kidney injury
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Initiation (onset phase)
Oliguric or Anuric Phase
Diuretic Phase
Recovery Phase
, H1/H2 blockers for anaphylactic shock- Benadryl/Pepcid
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Benadryl- 1-2mg/kg IV Q6-8HR blocks histamine response
Pepcid- 20mg IV Q12H augments effects of H1 blocker
Norepinepherine (Levophed) for septic shock
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2-4mcg/min maintenance dose
ESRD dietician
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high protein
low sodium
low potassium
low phosphate
ESRD physical or occupational therapist
Give this one a try later!
Give this one a try later!
warm flushed skin, increased temp, bounding pulse
ESRD neprhrologist
,Give this one a try later!
evaluate and manage kidney function
septic shock nursing management
Give this one a try later!
identify pts at risk.
screen pts for sever sepsis
strict aseptic technique
prevent concomitant infections
administer fluid and drugs- THIS WILL GET RID OF INFECTION
monitor drug response
WOTF is not criteria s/s for dx SIRS
1. RR > 20
2. HR <60
3. Temp >100.4
4. PaCO2 <32
Give this one a try later!
2. HR <60 ANSWER
Dopamine for septic shock
Give this one a try later!
, HIGH dose 10-20mcg/kg/min
for vasoconstriction
patient in compensatory stage of septic shock. WOTF s/s does the nurse EXPECT
1. warm dry skin
2. cool/clammy skin
3. cyanotic skin
4. ashen skin
Give this one a try later!
1. warm dry skin
progressive stage effects on GI system
Give this one a try later!
bacterial translocation. increased NH3 (ammonia). increased lactate.
Phases of acute kidney injury
Give this one a try later!
Initiation (onset phase)
Oliguric or Anuric Phase
Diuretic Phase
Recovery Phase
, H1/H2 blockers for anaphylactic shock- Benadryl/Pepcid
Give this one a try later!
Benadryl- 1-2mg/kg IV Q6-8HR blocks histamine response
Pepcid- 20mg IV Q12H augments effects of H1 blocker
Norepinepherine (Levophed) for septic shock
Give this one a try later!
2-4mcg/min maintenance dose
ESRD dietician
Give this one a try later!
high protein
low sodium
low potassium
low phosphate
ESRD physical or occupational therapist
Give this one a try later!
