True or false: Bacteria, fungi, viruses, and parasites can all cause sepsis
True
How many people are affected by sepsis every year?
a. 1,700
b. 17,000
c. 170,000
d. 1,700,000
d. 1,700,000
What is our #1 priority with septic pts?
ABCs
How is sepsis defined?
A multi system infection/life-threatening organ dysfunction caused by a dysregulated response to infection
Which country has participated in every single FIFA World Cup?
Brazil
Describe the "cytokine storm".
Dysregulation of inflammatory homeostasis. Clinical finding is increased CRP
Cytokines = cell signaling molecules, commonly involved in inflammatory responses
True or false: Sepsis is responsible for 1/4 hospital deaths.
False. Sepsis is responsible for 1/3 hospital deaths
Name an ALS intervention for septic shock
Fluids, vasopressors
How is sepsis diagnosed?
SIRS + source of infection, or positive cultures
Which country lies directly south of Thailand?
What causes tachycardia in septic pts?
Vasodilation leads to hypotension. HR increases to maintain CO
(CO = SV x HR)
Name 3 population at greater risk for sepsis.
Neonates, elderly, pregnant women, hospitalized pts, immunocompromised pts
Which of the following drugs is the vasopressor, and which is the antibiotic?
Daptomycin, droxidopaDaptomycin: Antibiotic
Droxidopa: Vasopressor
Name the 4 SIRS criteria
HR > 90 BPM
Temp greater than 100.4 or less than 96.8
RR > 20 or EtCO2 > 32 mmHg
High white blood cell count
Name the CARS executive committee (4 members + chief)
Jon Howard, President
Shawn Tevendale, Vice President
Adele Kofler, Treasurer
Olivia Hale, Secretary
Why do septic pts have increased lactate values?
Sepsis increases O2 demand, and decreases O2 delivery. Therefore, cells must utilize anaerobic respiration.
What percentage of sepsis cases worldwide occur in children under 5?
(10% buffer)
50%
Which of the following drugs is most likely to be used to treat sepsis?
a. diphenhydramine
b. hydrocortisone
c. citalopram
d. lotensin
b. hydrocortisone
Your 84 YOF pt at the Cedar's has COVID-19 and the following vitals.
Temp: 96.9
BP: 103/62
HR: 102
SPO2: 92
RR: 28
Is she septic?
No
How many calls did CARS run in its first month?
±20
260