Sepsis Presentation
Sepsis & Multi-Organ Failure Criteria
SHOCKingly Septic
Who's that CBL Member?
Who ELSE is that CBL Member?
100
One of the 4 criteria of systemic inflammatory response syndrome (SIRS) is if this vital sign's value is outside of 36-38 in its associated metric unit
What is temperature?
*Fever tends to be a classic clinical presentation, but they can be really cold as well!
100
An increased risk of mortality from organ failure can be predicted with this measure
What is the sequential organ failure assessment (SOFA) score?
*Commonly for sepsis severity, and having a score >1 means at least 10% risk of death
100
One way to determine if someone has septic shock instead of sepsis is if they do not respond to this general treatment
What are fluids?
*This is because shock has severe vasodilation, so fluids just go to the interstitium and do not stay in vasculature
100
Their Spotify Wrapped age was so old it even surprised Dr. Axelrod
Who is Eric?
*It was 87
100
This person's full name (including middle) is 6 letters long, as their middle name is the same as their first name
Who is Vy (me)?
*Yes, my entire name is Vy Vy Le
200
If a patient has vasodilation from sepsis, you can see this phenomenon on their skin
What is flushing?
*Refers to neck, face, and upper body reddening/warming
200
On top of having 2/4 criteria for SIRS, a patient must also have this as the underlying cause to call it sepsis
What is an infection?
*Ideally confirmed, but if suspected that can work
200
One of the key defining measures for septic shock is if this value is below 65 mmHg
What is mean arterial pressure (MAP)?
*To get it above 65 mmHg you WILL need a vasopressor
200
This person really loves their canned cranberry sauce
Who is Spencer?
200
They got two hole-in-ones in their golfing career
Who is Mitch?
*+50 bonus points if you put an adjective before his name
300
For SIRS, a heart rate over this number bpm qualifies it as one of the 4 criteria
What is 90?
*Also happens to be one of the three components to sepsis presentation
300
Severe sepsis varies from typical sepsis if it involves more than one of this
What is organ (system)?
*Sepsis has the potential for organ failure, and septic shock usually involves systemic organ failure
300
Because of decreased refill in this blood vessel, septic shock patients experience hypoperfusion and thus cyanosis
What are capillaries?
*Early inflammatory response in shock can make extremities warm (warm shock), but eventually it progresses to cyanosis and cold shock
300
The other Penn Stater besides me
Who is Adeeba?
*WE ARE
300
This person recommended Baby's Kusina for good Filipino food
Who is Joanne?
400
This phenomenon is often due to the capillary leakage out into the interstitium
What is edema?
*The edema is very generalized since this is a widespread complication
400
You become immediately high risk on SOFA score if you have acute respiratory hypoxemic failure, meaning this ratio is below 300
What is P/F (PaO2:FiO2) ratio?
*Also called Horowitz index, this measures your lung oxygenation efficiency
400
Even after fluids, if this compound level is greater than 2 mmol/L or 18 mg/dL, this helps label septic shock
What is lactate?
*Severe lactic acidosis during shock and very low BP are the only two criteria!
400
This person's Apple Music Replay contained various rock artists at the top like Arctic Monkeys and Led Zeppelin
Who is Leila?
400
This person really liked the DunKings Superbowl ad with Ben Affleck, Tom Brady, and Matt Damon
Who is Nina?
500
In older and really young patients, you may notice this symptom, which can be quantified with > 20 rpm or a PaCO2 of < 32 mmHg
What is respiratory distress?
*This and altered mental status are common clinical features of these demographics specifically
500
Helmet cells shown here are a good marker of this blood complication often seen with sepsis and septic shock
What is disseminated intravascular coagulopathy (DIC)?
*The inflammatory response will often release tissue factor to trigger microthrombi but use up all platelets elsewhere to cause widespread bleeding
500
Septic shock is one type of this shock category because of their abnormal distribution of blood flow in vasculature and consequently extravasation
What is distributive shock?
*Whereas hypovolemic shock is an absolute low level of fluids due to diarrhea & vomiting while cardiogenic shock is due to low cardiac output due to cytokines decreasing contractility
500
This person said Italy was their favorite travel spot, and they went to Mount Vesuvius in particular
Who is Kelsey?
500
Besides PA, this person lived in Connecticut, Iowa, and Missouri
Who is Mehek?