Pathophysiology
The minimum amount of organs systems that should be failing to be considered MODS
What is 2 or more organ systems?
SIRS/MODS causes this type of acid/base imbalance first
What is metabolic acidosis?
A patient has WBC 15,000, a temp 100.7 degrees, and RR 27. The patient most likely has this syndrome.
What is SIRS?
The focus of care for SIRS/MODS.
What is preventing & treating infection, maintaining tissue oxygenation, nutrition/metabolism support and appropriate support of individual failing organs?
T/F: Daily assessments of lines and catheters can prevent HAIs in high risk infection patients.
what is true
The consequences when the inflammatory response is activated.
What is endothelial damage, inflammatory mediators, cytokine release and vascular permeability?
In doing a neuro assessment, you might find these liver complication symptoms.
What is Hepatic encephalopathy, altered LOC, confusion, asterixis tremors?
2 CNS assessment findings that align with a liver complication
What is mental status change, confusion, asterixis, tremors (hepatic encephalopathy)
Three ways a nurse can decrease oxygen demand in a patient experiencing hypoxemia.
What is sedation, mechanical ventilation, rest, treating fever, and treating pain?
Two main systems to closely monitor for the development of SIRS
What is Neuro and Respiratory?
Effects of kidneys being hypoperfused. We can expect
What is renal tubular ischemia, acute kidney injury, or Renal Tubular Necrosis?
Parameters a nurse should monitor to determine adequate tissue perfusion in a patient with MODS
What is LOC, urine output, skin color, temperature, decreased capillary refill and warm skin?
3 hematologic manifestations you would see in a patient with MODS.
What is Increased PT, PTT (bleeding times), d-dimer test, fibrin split products, decreased platelets?
Early interventions that can reduce risk of respiratory infection.
What is early mobilization, ventilator care, and encouraging coughing?
Medications that can be used to reduce stress ulcer formation
What is Antacids/PPIs (-razole)/Surclafate?
Prolonged decreased tissue perfusion affecting the GI system.
What is destruction of the protective mucosal barrier leading to ulcertation and GI bleed?
ADH and aldosterone release results in electrolyte imbalances of sodium and potassium.
What is sodium and water retention with increased urinary potassium loss?
Final consideration of supporting a critical patient with MODS.
What is the discussion of withdrawing life support and/or starting end-of-life care?
A patient has a suspected infection, this would be an expected priority course of action.
What is obtain culture and sensitivity and start broad spectrum antibiotics?