Show:
Risk Factors
Nursing Knowledge
Emergency
Medical Management
Potential Complications
Management
100
Usually lasts more than 7 days.
What is prolonged neutropenia?
100
Often septic shock occurs after this event.
What is the initial dose of antibiotics is given?
100
The amount, type and rate of volume a patient in septic shock should receive.
What is 20ml/kg isotonic solution over 5-20 minutes up to 60ml/kg in the first hour?
100
Potential complication if circulating blood volume is not corrected?
What is cardiac decompensation?
100
Must be identified and treated if a child is to survive septic shock
What is the underlying infection?
200
It is lower than 100mm3.
What is the absolute neutrophil count in sepsis?
200
Parameters for hypotension in septic shock.
What is a systolic blood pressure of 90mm Hg or a drop in baseline of 40mm Hg?
200
The only proven treatment for septic shock
What is the early administration of antimicrobials?
200
Potential complications are related to this.
What is the progression of shock?
200
Two goals in the treatment of shock.
What are to reverse perfusion abnormalities and restore organ function?
300
Central lines, peripheral iv's. ommaya reservoirs
What are invasive devices?
300
Lags behind physical deterioration.
What are changes in vital signs?
300
The most important intervention for patients with septic shock.
What is volume resuscitation?
300
Potential CNS complications.
What are anxiety, restlessness, confusion, disorientation, lethargy and a decreased level of consciousness and possible coma?
300
The preferred antimicrobial used in early treatment.
What are broad spectrum antibiotics?
400
Breaks in these may lead to septic shock.
What are skin and mucous membrane integrity?
400
The type of shock seen when sepsis progresses.
What is distributive shock?
400
Possible pharmaceutical intervention to aid in restoring blood pressure.
What are vasoactive drugs?
400
Potential respiratory complications
What are tachypnea, rales, wheezing, dyspnea, cyanosis and pulmonary congestion?
400
Therapy to consider with persistent fever.
What is antifungal therapy?
500
The population at a greater risk for sepsis due to the decreased production of T-Lymphocytes.
What are infants?
500
Possible perfusion abnormalities in septic shock.
What are lactic acidosis, minimal urine output and acute alteration in mental status?
500
Actions essential to the survival of a patient in septic shock.
What are early recognition and prompt treatment?
500
This may occur if progression of shock is not halted.
What is multisytem organ failure and/or death?
500
Diagnostic Interventions
What are chest xray, urine cultures, blood cultures & cultures of any potential sites of infection?