The key to survival is rapid detection and treatment of what condition?
What is sepsis?
100
This is a local reaction to a pathogen that progresses to a systemic response.
What is SIRS?
100
The push pull method is the preferred method of giving what?
What is a fluid bolus?
100
This amount of children develop sepsis every year?
What is 40,000?
100
This is the first microbiology test you would send before starting antibiotics.
What is a blood culture?
200
You are caring for a patient in the early stages of hypovolemic shock. What response would you expect from the heart?
What is tachycardia?
200
Children with SIRS must meet two criteria. One can be fever, tachycardia, and tachypnea. The other must be this.
What is abnormal WBC count?
200
This amount of fluid should be given as the first NS bolus.
What is 20cc/kg?
200
This is the number of children who dies from sepsis or related complications each year?
What is 4,500?
200
Your patient has a high fever, poor perfusion, and increase heart rate. What lab value does your patient need drawn to confirm SIRS criteria?
What is a WBC count?
300
Your patient has a 1 day hx of vomiting and diarrhea. She is lethargic, cold, clammy, with no peripheral pulses and weak central pulses. Cap refill is >5 seconds. This patient is in this kind of shock.
What is uncompensated hypovolemic shock?
300
This is a result of anaerobic metabolism.
What is lactic acidosis?
300
Antibiotics should be given within this time period of shock recognition.
What is 60 minutes?
300
Every 30 minutes that sepsis goes unrecognized bacteria do this.
What is double?
300
Your patient is a 4 month old who has had diarrhea and vomiting for 24 hours. His fontanel is sunken, he has delayed capillary refill, and his heart rate is 200. You suspect he has this kind of shock.
What is hypovolemic shock?
400
You patient is lethargic and responds only to sternal rub. This is what kind of status?
What is altered mental status?
400
Damage to endothelial tissue causes activation of this cascade which results in microemboli within the systemic vascular system resulting in bleeding and clotting at the same time.
What is Activation of the Coagulation Cascade?
400
You are caring for a patient who is hypotensive with poor perfusion. The patient has already received 60cc/kg of isotonic fluid. What class of drugs would expect to be ordered?
What are inotropes?
400
This is the estimated mortality of sepsis in children?
What is 2-10%?
400
Your patient is intubated, on an epi gtt at 0.3mcg/kg/min and has received 80cc/kg of NS and remains critically ill. The lab calls back and the blood culture is positive for MRSA and the WBC count is 21K. Your patient has this.
What is septic shock?
500
This is the primary feature of uncompensated shock.
What is lactic acid production?
500
The lungs are prone to this because during DIC and Sepsis because they are vascular and responsible for the exchange of oxygen and CO2.
What is ARDS?
500
Your patient has fluid and inotrope refractory shock. What medication might you expect the intensivist to order?
What is hydrocortisone?
500
This is the number of PICU nurses we would like to pass the CCRN exam?
What is 100%?
500
This lab test confirms inadequate oxygenation and ventilation.