Show:
DEFINITIONS
CLINICAL MANIFESTATIONS
MANAGEMENT
COMPLICATIONS
RANDOM
100
A widespread infection that triggers a whole-body inflammatory response
What is sepsis?
100

The stage of shock characterized by a greatly decreased stroke volume and cardiac output, a serum lactate level greater than 4, a blood glucose greater than 150 and a oxygen saturation below 80%

What is septic shock?

100
Drugs that provide adrenal support for patients in severe sepsis
What is corticosteroids?
100
This occurs as microthrombi formation is widespread and uses up much of the patients available clotting factors
What is disseminated intravascular coagulation?
100
The arterial blood pressure necessary to maintain perfusion of major body organs.
What is MAP?
200
The progression of sepsis with an amplified inflammatory response
What is severe sepsis?
200
The stage of shock characterized by a decreased stroke volume and cardiac output, a serum lactate level that is normal-slightly increased, a blood glucose between 110-120 and a oxygen saturation below 95%
What is early sepsis?
200
Given to control blood glucose levels in patients in septic shock
What is insulin?
200
The sequence of inadequate blood flow to body tissues, which deprives cells of oxygen and leads to anaerobic metabolism with acidosis, hyperkalemia, and tissue ischemia, this is followed by dramatic changes in vital organs and leads to the release of toxic metabolites and destructive enzymes
What is Multiple Organ Dysfunction Syndrome?
200
The nurse knows that after giving dopamine to a patient in septic shock, these cardiac manifestations will need to be monitored.
What is chest pain and hypertension?
300
The stage of sepsis that occurs with SIRS, multiple organ failure, and uncontrolled bleeding.
What is septic shock?
300
The stage of shock characterized by an increased stroke volume and cardiac output, a serum lactate level between 2-4, a blood glucose between 120-150 and a oxygen saturation below 85%
What is late sepsis?
300
Anti-coagulant and anti-inflammatory properties make this medication useful in treating patients who are at high risk of death related to sepsis
What is human activated protein C?
300
Tachpynea, tachycardia, decreased PaCO2, and hyper or hypothermia are symptoms of this process.
What is SIRS?
300
Distinguished as mottle skin, diminished pulses, and decreased cardiac output.
What is cold shock?
400
When urine output is decreased and respiratory rate is increased, this indicates that impaired oxygenation and tissue perfusion are present. This leads to tissue and organ ________.
What is ischemia?
400
In this stage your patient will appear to be improving with an increase in cardiac output & pulse pressure...."the calm before the storm"
What is late sepsis?
400
Levels that are drawn for a patient in septic shock to determine if cells are using anaerobic metabolism
What is serum lactate?
400
In septic shock, the lungs are susceptible to damage which can lead to what complication? (lung stiffening)
What is ARDS?
400
Goal is 0.5 mL/kg/hr in adults
What is urine output?
500
The hallmark of sepsis is an increasing serum lactate level, a normal or low total WBC count, and a decreasing segmented neutrophil level with a rising band neutrophil level. This change is called a _____ _____.
What is the left shift?
500

This enzyme prevents inappropriate clot formation and is often decreased in septic shock.

What is activated protein C?

500

This nursing problem is essential for a patient in septic shock to prevent MODS and tissue ischemia.

What is adequate tissue perfusion?

500

A lab value that is monitored to determine kidney function. It is drawn due to the patients decreasing urine output and low circulating output.

What is serum creatinine?

500
This may be indicated when the patients hemoglobin is <7
What is RBC transfusion?