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Exam (elaborations)

Sepsis Questions With Detailed Verified And 100% Accurate Answers

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SEPSIS QUESTIONS WITH DETAILED VERIFIED AND 100% ACCURATE ANSWERS

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SEPSIS QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS
True/False: Sepsis is the leading cause of death of patients in the ICU.
Correct Answers True


Are there Sepsis Guidelines?
A. No, because sepsis is covered by individual guidelines based on
source of infection (e.g. pneumonia, bacteremia)
B. Yes, there is an IDSA guideline
C. Yes, there is a Surviving Sepsis Campaign guideline
D. Yes, CMS has guidelines and core measures Correct Answers C. Yes,
there is a Surviving Sepsis Campaign guideline
D. Yes, CMS has guidelines and core measures


Systemic Inflammatory Response Syndrome (SIRS) Criteria Correct
Answers - Temperature: > 38 C or < 36 C
- HR: > 90
- RR: > 20, PaCO2 < 32
- WBC > 12,000, < 4,000, or > 10% bands


Sepsis Identification Correct Answers 2+ SIRS criteria + suspected
source of infection


Other way to Identify Sepsis Correct Answers qSOFA (Quick Sequential
Organ Failure Assessment)

, - Altered mental status (Glasgow coma scale < 15)
- RR: > 22
- Systolic BP: </= 100


2+ qSOFA criteria + suspected source of infection


*Not the primary screening tool*


True/False: Many conditions can mimic sepsis. Correct Answers True


What conditions can mimic sepsis? Correct Answers - Cardiac diseases:
MI, HF, arrhythmias
- Pulmonary disease: pulmonary embolism, ARDS, pneumonitis
- GI disease: pancreatitis, IBD, bowel obstruction, ischemia
- CNS disease: seizures, intracranial hemorrhage, autonomic dysfunction
- Drug overdose/withdrawal/reactions, lymphoma, gout, thyroid storm,
DKA, heat stroke, severe burns, post-op


CMS SEP-1 Measures Correct Answers Within 3 hours:
- Measure lactate
- Draw blood cultures
- Administer broad spectrum antibiotics
- If hypotensive (SBP < 90, MAP < 65) or lactate >/= 4 give 30 mL/kg
crystalloid fluids

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