When the body does not have enough oxygen to maintain Saturation of Oxygen >90%
What is Hypoxia?
100
The body responds to sepsis in 3 main three categories
What are Inflammation, thrombosis, and fibrinolysis?
100
Ischemia
Trauma
Inflammation
Other causes of SIRS to be mindful of
100
A procedure that views the condition of the heart valves.
What is a transesophageal echo (TEE) or a transthoracic echocardiogram (TTE)?
Determines whether infection vegetation has settled in the heart.
100
Two key approach considerations in Severe Sepsis management.
What are early recognition and management?
200
Staging of the initial insult, abbreviated as SIRS.
What is Systemic Inflammatory Response Syndrome ?
200
Invasive devices that increase the risk of a hospital acquired infection.
What are central lines, Foley catheters, and endotracheal tubes?
200
Septic shock can result in these severe complications.
What are ARDS, DIC, renal failure, liver failure and heart failure?
200
This lab value can be drawn from an Arterial Blood Gas and is reflective of Sepsis.
What is Lactate Acid Lab value of 3.0 or greater.
200
A rapid infusion of fluids.
What is an IV bolus?
An rapid infusion of Normal Saline or other fluids, that may increase blood pressure.
300
The breakdown of muscle fibers that leads to the release of muscle fiber contents (myoglobin) into the bloodstream.
(Myoglobin is harmful to the kidney and often causes kidney damage.)
What is Rhabdomyolysis?
300
A risk factor seen in auto-immune, AIDS, Chronic illness individuals.
What is a weakened immune system?
300
Sign of Renal Failure.
What is urinary output less than 30 ml/hr?
300
Signs of Systemic inflammatory response syndrome (SIRS)
What are T> 38.0°C or < 36.0°C
Heart rate > 90 beats/min
Respiratory rate > 20 breaths/min
White blood cell (WBC) count > 12,000/µL
300
Medications that combat infections.
What are antibiotics?
400
A syndrome that is characterized by an overwhelming systemic response to infection
What is Sepsis?
400
Risk factors including MRSA, and VRE.
What are Drug Resistant Bacterial Infections?
400
Some symptoms indicating metabolic encephalopathy.
What are confusion, altered mental function, apprehension, anxiety, and eventually coma?
400
Lab tests that reflect the appropriate medication for the specific infection.
What are culture and sensitivity lab values?
Bonus ???
What lab level needs to be drawn before antibiotics are started?
Blood cultures
400
Medication that increases muscle contractility, increases cardiac output, and increases blood pressure
What is Dopamine?
500
Defined as a progressive and potentially reversible physiological dysfunction involving 2 or more
organ systems
What is Multiple organ dysfunction syndrome (MODS)
500
Predisposing factors that increase risk for septic shock
What are age>65 yrs old, compromised immune systems, cancer, chronic illnesses, malnutrition, substance abuse?
500
Common respiratory symptom of Sepsis.
What is Hyperventilation with respiratory alkalosis?
(Stimulation of the medullary ventilatory center by endotoxins and other inflammatory mediators has been proposed as the cause of hyperventilation.)
500
Procedure that removes spinal cord fluid.
What is a lumbar puncture?
Checks to see if the infection has penetrated into the spinal cord fluid.
500
Spontaneous bleeding
Oozing from venipuncture and wound sites
Gangrene from thromboses
What is MODS-Multiple Organ Dysfunction Syndrome
Bonus ???
What can you delegate to your tech to do?
Make patient presentable
Offer family support
Leave lines in if having a autopsy