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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 WBC12,000 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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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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