Clinical Reasoning Exam #3: Sepsis and Septic Shock
What is Distributive Shock? What will pt look like? What will happen to arteries and veins? What happens then, due to this? What happens to the fluids, and what does this cause? - Widespread vasodilation and decreased systemic vascular resistance -Pt will look like they are in hypovolemic shock, but theyre not -Arteries and veins will massively dilate -Body is not able to contract anymore -Fluids are just hanging out—decreased vascular return—decreased stroke volume—decreased CO—lower BP and tissue perfusion What will we see in terms of hemodynamics? - Decreased: -CO Systemic Vascular resistance Right Atrial Pressure (CVP) Pulmonary Artery Pressure Pulmonary Artery Occlusion Pressure With Sepsis, what will you always see? What is Sepsis most often caused by? - Will always see an infection, followed by an inflammatory response, and organ dysfunction
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