Sepsis
Acute organ dysfunction caused by a dysregulated host response to infection
What is sepsis?
The earliest physiologic manifestation of shock
What is tachycardia?
Plts 50,000 (decreased); Fibrinogen 20mg/dL (decreased); PT 18s, PTT62s (increased), D-dimer 523 ng/mL (increased)
What is laboratory findings consistent with DIC?
The preferred vasopressor for the treatment of septic shock?
What is norepinephrine?
Respiratory intervention commonly required for ARDS with shock
What is mechanical ventilation?
Screening criteria for SIRS
What is HR > 90, T< 36C or > 38C, RR > 20, WBC < 4000, >12000?
Stage of shock in which mechanisms try to maintain vital organ perfusion
What is compensated (early) shock
Bleeding from IV sites, petechiae, GI bleeding
What are clinical manifestations of DIC?
Treatment for distributive shock caused by anaphylaxis
What is intramuscular epinephrine?
Initial therapy for hypovolemic and septic shock
What is IV isotonic crystalloid?
Initial fluid resuscitation recommended for sepsis‑induced hypoperfusion
What is 30mL/Kg IV crystalloid?
Hemodynamic target recommended in septic shock
What is MAP ≥ 65 mm Hg?
Dysfunction of >2 organ systems due to hypoperfusion
What is MODS?
This therapy is the cornerstone of treatment for hypovolemic shock caused by hemorrhage
What is blood products?
Definitive treatment for cardiac tamponade
What is pericardiocentesis?
Nursing identification of these assessment findings help to identify sepsis early by detecting tissue hypoperfusion before blood pressure drops.
What is identifying changes in vital signs, mental status, and urine output?
This type of shock is caused by loss of sympathetic tone, resulting in hypotension, bradycardia, and warm, dry skin.
What is neurogenic shock?
Fundamental pathophysiologic problem in all shock states
What is inadequate tissue oxygen delivery?
This medication may be used to dissolve the underlying cause of obstructive shock due to massive pulmonary embolism
What is alteplase (thrombolytic therapy)?
Overall treatment goal for all forms of shock
What is restoration of adequate tissue perfusion and oxygenation?
Laboratory value used to assess severity and adequacy of resuscitation
What is serum lactate
This shock state is characterized by decreased preload due to volume loss from hemorrhage, dehydration, or third‑spacing.
What is hypovolemic shock?
Expected outcome of untreated, refractory shock
What is death?
This class of medications must be started early in septic shock to treat the underlying cause of shock.
What are broad‑spectrum antibiotics?
This intervention is recommended in septic shock when hypotension persists despite adequate fluid resuscitation.
What are vasopressors to maintain a MAP ≥ 65 mm Hg?