DIC
What is a common trigger of DIC in critical illness?
What is sepsis?
MODS often develops as a complication of what condition?
What is severe sepsis or septic shock?
Which lab is the priority in making a clinical determination for treatment for suspected sepsis?
What is lactate level?
Septic shock is defined as sepsis with persistent hypotension requiring what?
What is vasopressors to maintain MAP ≥65 mm Hg?
What is the priority nursing action when a family is first informed of a loved one’s critical illness?
What is provide emotional support and clear communication?
Name two lab findings consistent with DIC.
What are decreased platelets and elevated D-dimer?
What are early signs of MODS affecting the respiratory system?
What is increased respiratory rate and decreased oxygen saturation?
Within the first hour of identifying sepsis, what type of fluid and how much should be administered?
What is 30 mL/kg of crystalloids?
Name the first-line vasopressor for septic shock.
What is norepinephrine?
What is a key therapeutic communication technique for families in crisis?
What is active listening and acknowledging emotions?
In DIC, why does the patient bleed and clot at the same time?
What is due to widespread clotting that uses up platelets and clotting factors?
What lab values may indicate renal dysfunction in MODS?
What are increased BUN and creatinine levels?
What lab value should be remeasured within 2 hours if initially elevated in the SSC bundle?
What is lactate?
What are the hallmark signs of progressive septic shock?
What are hypotension, tachycardia, and cool, mottled skin?
Name one nursing intervention that supports family-centered care in the ICU.
What is involving the family in care planning or decision-making?
What type of medications may be used cautiously in DIC treatment?
What are anticoagulants like heparin?
What scoring system is often used to evaluate organ failure?
What is the SOFA (Sequential Organ Failure Assessment) score?
What kind of antibiotics and timing are recommended in the SSC guidelines? (Bonus)
What is broad-spectrum antibiotics within 1 hour of recognition?
What is the goal mean arterial pressure (MAP) in septic shock management?
What is ≥65 mm Hg?
How can the nurse support a family’s coping mechanisms during a medical crisis?
What is identify strengths, provide resources, and encourage self-care?
What nursing intervention is critical for patients with DIC?
What is monitoring for bleeding, replacing blood products, and preventing injury?
True or False: MODS can be reversed once multiple systems are affected.
What is false (it’s often irreversible in late stages)?
According to SSC, what should be assessed to guide fluid resuscitation and vasopressor therapy?
What is hemodynamic status?
What is the pathophysiological cause of hypotension in septic shock?
What is systemic vasodilation and capillary leakage?
What is the best way to handle a family’s anger or frustration in a crisis?
What is remain calm, validate their feelings, and seek to understand their concerns?