PSYCHOLOGY 101 Sepsis Simulation. Monroe Community College. Complete Solution Guide

1. Differentiate between the following terms: • Systemic inflammatory response syndrome (SIRS) • Systemic inflammatory response to a variety of insults. • Generalized inflammation in organs remote from the initial insult • Sepsis • SIRS + a known or suspected infection • Septic shock • Sepsis complicated by organ dysfunction; involving 1 organ • Multiple organ dysfunction syndrome (MODS) • The failure of two or more organ systems 2. Identify the nursing priorities in the care of the patient with sepsis and septic shock. • The nursing priorities are. • Eliminate infection • Support tissue perfusion/circulatory volume • Prevent complications • Provide information about disease process, prognosis, and treatment needs. • Monitor neurological status, including mental state and LOC • Monitor BP, HR, rhythm, pulse quality, CVP, PAP, CO • Monitor color and character of skin • Monitor ABGs, blood counts, clotting times, platelet counts • Monitor RR, rhythm and breath sounds 3. What class of bacteria is responsible for more than one half of the cases of septic shock? What are some common causes of this? • Gram + bacteria • Common causes are. • Exogenous sources include the hospital environment and the health care team. • Endogenous sources include the patient’s skin, GI tract, respiratory tract, and urinary tract