Labs
T/F: Lactate levels--> Labs can be discontinued if lactate is greater than 4mmol/L
False
How many amputations occur due to sepsis?
A. 10
B. 52
C. 29
D. 38
38
Medication that increases cardiac output and contractibility?
Dobutamine
What is a sign of sepsis? A. Extreme Pain, B. High urine flow, C. No Pain, D. Low Heart rate
A. Extreme Pain
What does SIRS stand for?
Systemic Inflammatory Response Syndrome
What are 3 labs that need to be collected for sepsis?
Any of these: Blood culture, UA/UC, Lactate Level, BUN, Creatine, CBC, Liver Panel, Ca, Mg, Phosphorus, PT/INR
How many people die annually due to sepsis?
250,000
What Macrolide Antibiotic treats grams + bacteria?
Azithromycin
What are the 3 vital signs that indicate sepsis?
Temperature, Heart rate, Blood Pressure
Explain the significance of increased capillary permeability in sepsis.
The systemic increased capillary permeability leads to reduced intravascular volume, less ability to circulate oxygen, meds, and fluids to tissues, and increased fluids leading in the tissues.
Why do we want to check the patients PT/INR levels?
Clotting or bleeding issues
Which of the following is not likely to be a complication after surviving sepsis?
A. amputations
B. improved memory
C. insomnia
D. PTSD
E. Decreased mental functioning
Improved memory
What medications are used for sepsis?
Vancomycin, Zosyn, Norepinephrine, Dobutamine
The nurse should advise older adults to participate in which activities to help decrease the risk of developing sepsis?
Obtaining annual flu vaccine
T/F Septic shock causes system-wide vasodilation which leads to an increase in system-wide vascular resistance.
True
What does positive blood culture mean?
Bacteria microorganism yeast in blood
What type of IV fluids should not be administered to sepsis patients?
Dextrose
What medication should you give a patient if they are allergic to penicillin?
Meropenem & Vancomycin
The nurse educator in providing an in-service about interventions that increase a clients risk for sepsis. What information should educator include?
Invasive Procedures
A patient is at risk for septic shock when a microorganism invades the body. Which microorganism is the MOST common cause of sepsis?
A. Fungus B. Virus C. Parasite D. Bacteria
Bacteria
Does the patient have signs of acute organ dysfunction? What are some hepatic signs
elevated liver function tests, hyperbilirubinemia
What is hypovolemic shock?
Loss of circulating volume
What medication should you give for a MAP of >65 and <65?
Epinephrine & Norepinephrine
You're providing care for four patients. Select who is most at risk for sepsis.
A. a 35- year old female who is hospitalized with renal insufficiency and has a foley catheter and central line in place.
B. A 55- yr old male who is a recent kidney transplant recipient.
C. A 78-yr old female with diabetes mellitus who is recovering from colon surgery.
D. A 65- year old male recovering from right lobectomy for treatment of lung cancer.
A. a 35- year old female who is hospitalized with renal insufficiency and has a foley catheter and central line in place.
Leading cause of death in noncoronary ICU (US)
Severe Sepsis and Septic Shock