SIRS
What does SIRS stand for?
Systemic inflammatory response syndrome
Why would you use QSofa per Sepsis 3
Rapid assessment / stratification of a possibly septic patient
What lab would be effective to measure acute inflammation in the body?
CRP
What day of the week does "Alive after Five" happen downtown?
Thursday's during the summer
Lactated Ringers are contraindicated in sepsis due to causing worsening lactic acidosis. True or False?
False
How many criteria need to be met before a diagnosis of SIRS can be made
2 or more
Sepsis 3 encourages a bolus of IVF for patients with sepsis, how much volume should the patient be given and over what time?
30 ml/Kg over 3 hours
What lab would be useful to measure organ dysfunction / presumed tissue hypoxia?
Lactate
What is the highest elevation over Bearthooth Highway?
10,947 feet
Example of a balanced crystalloid?
ringers lactate / Isolyte / PlasmaLyte
Above what temperature is considered an fever in Celsius?
38
What is the most common source of infection in cases of sepsis?
Respiratory tract (35% of cases)
How often should be we rechecking a lactate level in a septic patient who's initial lactate is elevated?
Depends on who you ask? Surviving sepsis - 1 hr, SEP-1 bundle 3 and 6 hours.
Where was the first community health center founded in the US?
Columbia Point Health Center in Dorchester, Massachusetts, which opened in December 1965
Vasopressores should be administered after initial resuscitation in order to maintain a MAP of?
>65 mmHg
If a pt has a HR of 104, PaCo2 of 28, WBC level of 13.0, and temp of 93.2 F does this meet SIRS Criteria?
Yes
QSofa has higher sensitivity and specificity than SIRS. True or False?
False (it is less sensitive and less specific based on validation trials?
What lab rises rapidly with sepsis and a level >2.00 ng/ml is highly associated with bacterial infection?Troponin
Procalcitonin
Billings aka The....
Magic City
How often should you evaluate a patient for possible de-escalation of antibiotics according to Sepsis 3?
Daily
According to SIRS criteria what makes septic shock?
Sepsis with arterial hypotension despite adequate fluid replacement
What is the Sepsis 3.0 Definition of sepsis?
Life-threatening organ dysfunction caused by a dysregulated host response to infection
What infectious cause of sepsis can cause a "falsely" negative or low procalcitonin level?
Fungal infections
What is the distance to alpha centauri?
4.367 light years
What is the Vasopressor of choice for most cases of Sepsis?
Nor-epinephrine