sepsis
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| when you have an infection that has created a systemic inflammatory response | Sepsis
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| systemic inflamatoory response syndrome | have two of the following: >90bpm, >20 breaths per min, >38degrees C or 100.4F, temp <36C or 96.8F, WBC>12000or <4000
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| you have at least one end organ dysfunction, hypoperfusion or hypotension | severe sepsis
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| you have sepsis induced hypotension that is persisting despite adequate fluid resuscitation | septic shock
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| with this you need to measure lactate within 6 hours, blood cultures before antibiotics, broad spec. antibiotics with in 3 hours of ER, fluid bolus for hypotension or lactate >4, CVP >8 within 6 hours for septic shock, | Resucitation Bundle
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| you need low dose steroids withing 24hours of dx of sepsis, drotecogin slfa (antiinflammatory) w/in 24hours, Glucose control 70-150, if on vent median inspiratory plateau pressure < 30 over 1st 24hrs to prevent further lung damage | Management bundle
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| Every time a blood culture is ordered what else should be ordered | lactate levels
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| targets microvasuclar dysfunction, reduce microvascular thrombosis | Drotrecogin Alfa
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| do not give Drotrecogin Alfa if the patient has | active internal bleeding, or epidual catheter
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