signs and symptoms
this is low
hypotension
first line?
broad spect. antibiotics
what type of fluids is used first
crystaliods
wha type of oranisims can cause septic shock
bacteria, viruses, fungi
define septic shock
sepsis with persistent hypotension despite fluids
this may increase
HR
first vasopressor
norepi
how much fluid is given
30-50 ml/kg
what do cytokins cause in spesis
widespread inflamation
what scoring tool helps assess sepsis severity
SOFA or qSOFA score
you temperature may be
increased
what corticosteroid is used if shock is refractory
hydrocortisone
target map goal
>65mmhg
what happens to vascular resistance in spetic shock
in decreases
what organ dysfunction signals signs of severe sepsis
altered mental status or low urine output
free space
yup
what intrope increases cardiac outpot
dobutamine
what should be monitored to assess perfusion
urine output
what happens to cappilary perminability
it increases (leakage)
what is early recognition key
prevent organ failure and death
typical hemodynamic profile
low bp increased hr increased RR
why give antibiotics before culture results
to control early infection
why get cutures before antibiotics
to identify the causitive agent
what clotting DO can develope from sepsis
DIC disseminating intravascular coagulation
what long term issue may survivors face
post sepsis syndrome (fatigue, cognitive issues)