Sepsis Showdown
This early sign of sepsis often appears before hypotension.
What is tachycardia?
This type of shock is caused by severe fluid loss.
What is hypovolemic shock?
Narrow pulse pressure is commonly seen in this type of shock.
What is hypovolemic shock?
Decreased urine output indicates failure of this organ.
What are the kidneys?
MODS most commonly develops as a progression of this condition.
What is sepsis or septic shock?
This is the first-line fluid for most shock states.
What is normal saline or LR?
A patient has a lactate of 4 mmol/L, MAP of 58 despite fluids, warm flushed skin, and bounding pulses. Explain why this is septic shock and not cardiogenic or hypovolemic shock.
What is...
Explain how septic shock leads to MODS by describing the sequence of perfusion changes, inflammatory responses, and the first organ system typically affected.
What is...
A lactate level above this value indicates tissue hypoperfusion.
What is > 2 mmol/L?
This shock results from pump failure of the heart.
What is cardiogenic shock?
Bradycardia is uniquely associated with this shock type.
What is neurogenic shock?
Confusion and agitation indicate dysfunction of this organ system.
What is the central nervous system?
The first organ system to show dysfunction in MODS is often this one.
What are the lungs?
This medication class is used to increase blood pressure in septic shock.
What are vasopressors?
This stage of sepsis includes hypotension that persists despite fluid resuscitation.
What is septic shock?
Tension pneumothorax and cardiac tamponade cause this type of shock.
What is obstructive shock?
Widened pulse pressure and bounding pulses may appear in this early shock state.
What is early septic shock?
Elevated bilirubin and jaundice indicate failure of this organ.
What is the liver?
This scoring tool helps evaluate organ dysfunction severity in MODS.
What is the SOFA score?
Epinephrine is the first-line treatment for this shock type.
What is anaphylactic shock?
This is the minimum amount of fluid recommended early in sepsis resuscitation to improve perfusion.
What is 30 mL/kg of IV crystalloids?
Warm, flushed skin is most commonly seen in this shock type.
What is early septic shock?
This shock type often presents with severe hypotension and wheezing.
What is anaphylactic shock?
ARDS is a severe complication involving this organ system.
What are the lungs?
In MODS, this electrolyte imbalance is common due to kidney failure.
What is hyperkalemia?
Needle decompression treats this life-threatening cause of obstructive shock.
What is tension pneumothorax?
Name two hallmark signs of septic shock.
What are persistent hypotension and elevated lactate?
This shock is caused by loss of sympathetic tone after spinal cord injury.
What is neurogenic shock?
Cool, clammy skin is a hallmark of all shock types except this one.
What is neurogenic or early septic shock?
MODS stands for this.
What is multiple organ dysfunction syndrome?
Name two priority interventions to prevent progression to MODS.
What are early antibiotics and aggressive fluid resuscitation?
This is the recommended time frame to administer antibiotics in suspected sepsis.
What is within 1 hour?