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Exam (elaborations)

Pediatric CCRN Questions and Correct Answers | Latest Update

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What does SIRS stand for? -:- Systemic Inflammatory Response Syndrome Key characteristics of Endotheliopathy -:- • Capillary leak • Vasomotor paralysis tone of vessels not normal • Leukocyte infiltrations • Coagulopathy • Myocardial depression • Immune-compromise Patient Qualifications of SIRS based off clinical findings. -:- Two Abnormalities -Must be abnormalities of temperature (greater than 38 rectal or less than 36 rectal) or WBC in children -Other abnormalities include: 2 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 Excel! 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain 1. HR (Tachycardia) 2. RR (Tachypnea) 3. PaCo2 Less than 32 4. Abnormal WBC>12,000 or less than 4,000 5. WBC bands greater than 10% differential Management of SIRS -:- 1. Treat underlying Cause 2.Manage coagulopathies: thrombocytopenia← replace platelet, clot formation← give thrombolytic, bleeding 3. Mange the endothelipathies: stop inciting insult, fluid resuscitate, increase plasma oncotic pressure (colloid administration) 4. Promote Vasoconstriction: Alpha Agonist Septic Shock -:- - Sepsis plus CV dysfunction: Abnormal perfusion as well as hypotension. - Children able to maintain BP longer than Adults 3 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 Excel! 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Septic Shock Management Step One -:- - Recognition and A

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Uploaded on
September 20, 2024
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2024/2025
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2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




Pediatric CCRN Questions and Correct
Answers | Latest Update
What does SIRS stand for?


✓ -:- Systemic Inflammatory Response Syndrome




Key characteristics of Endotheliopathy


✓ -:- • Capillary leak

• Vasomotor paralysis tone of vessels not normal


• Leukocyte infiltrations


• Coagulopathy


• Myocardial depression


• Immune-compromise




Patient Qualifications of SIRS based off clinical findings.


✓ -:- Two Abnormalities

-Must be abnormalities of temperature (greater than 38 rectal or less than 36 rectal) or

WBC in children


-Other abnormalities include:

1|P a g e | G r a d e A + | 2 0 2 0 2 5

, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



1. HR (Tachycardia)


2. RR (Tachypnea)


3. PaCo2 Less than 32


4. Abnormal WBC>12,000 or less than 4,000


5. WBC bands greater than 10% differential




Management of SIRS


✓ -:- 1. Treat underlying Cause


2.Manage coagulopathies: thrombocytopenia← replace platelet, clot formation← give

thrombolytic, bleeding


3. Mange the endothelipathies: stop inciting insult, fluid resuscitate, increase plasma oncotic

pressure (colloid administration)


4. Promote Vasoconstriction: Alpha Agonist




Septic Shock


✓ -:- - Sepsis plus CV dysfunction: Abnormal perfusion as well as

hypotension.

- Children able to maintain BP longer than Adults


2|P a g e | G r a d e A + | 2 0 2 0 2 5

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