Sepsis
Shock
Complications of Shock
Medications
Treatments
100
Sepsis with MODS
What is severe sepsis?
100
The earliest manifestation of shock
What is an increased heart rate?
100
Plts 50,000; Fibrinogen 20mg/dL; PT 18s, PTT62s, D-dimer 523 ng/mL
What is laboratory findings consistent with DIC?
100
Norepinephrine is this
What is the preferred vasopressor for the treatment of sepsis?
100
A patient with ARDS and shock most likely needs this
What is a ventilator?
200
Clinical findings of SIRS
What is HR > 90, T< 36C or > 38C, RR > 20, WBC < 4000, >12000?
200
The part of the body most affected by shock
What is all parts of the body?
200
Clinical findings consistent with DIC
What is gastrointestinal bleeding, profuse bleeding from wounds, petechiae?
200
Stimulation of this receptor will cause vasodilation
What is the B2 receptor?
200
A patient who had a recent myocardial infarction needs a good balance of this
What is fluid?
300
Fluid challenge for sepsis
What is 1000mL crystalloid, followed by 30mL/Kg in the first 4-6 hours?
300
Hypoxia is found in non-vital organs, while the vital organs are still perfused in this stage of shock
What is non-progressive?
300
MODS
What is dysfunction in 2 or more organs as a result of decreased oxygen supply?
300
Nitroprusside helps this kind of shock by decreasing afterload
What is cardiogenic shock?
300
Pericardiocentesis is the ideal treatment for this
What is obstructive shock from pericardial tamponade?
400
Goal for treatment of sepsis
What is a broad-spectrum antibiotic within 1st hour in ICU?
400
The best way to measure tissue extraction of oxygen
What is SvO2?
400
The ultimate problem in shock
What is poor tissue perfusion resulting in cell death?
400
Dopamine is a positive inotrope at this dose
What is 5-10 mcg/kg/min?
400
Improve oxygenation, increase vascular volume, and support compensatory mechanisms
What is the goal of treatment for any form of shock?
500
Value suggesting goal for fluid resuscitation has been reached
What is a CVP > 8?
500
Clinical findings are: cool, mottled skin, tachycardia, hypotension, confusion, low CVP, low PCWP, low CO, high SVR
What is What is hypovolemic shock?
500
This will happen to patients with untreated shock
What is death?
500
The medication used to help coronary vasodilation
What is Nitroglycerine?
500
Administering Epinephrine and removing allergen helps treat what form of shock
What is Distributive/ anaphylaxis?
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