SEPSIS SEPTIC SHOCK UNFOLDING
REASONING EXAMINATION TEST
COMPLETE QUESTIONS AND SOLUTIONS
●● sepsis
Answer: immune systems response to severe infections (bacterial,
fungal, or viral) leading to the damage and failure of organs and death
●● CLABSI bundle
Answer: - use appropriate hand hygiene
- use chlorhexidine for skin precaution
- use full barrier precautions during catheter insertion
- avoid using the femoral vein for catheters in adult patients
- remove unnecessary central lines
- change dressing as per hospital
●● build up of lactic acid in the blood?
Answer: - lactic acidosis
●● blood lactate levels arterial range?
Answer: 0.5-2.0 mmol/L
,●● blood lactate levels venous range?
Answer: 0.5-1.5 mmol/L
●● increased level of lactic acid indicates what?
Answer: hypoperfusion
global indicator of tissue oxygenation
●● lab indicators of Sepsis
Answer: - WBC
- Glucose
- arterial hypoxemia (P/F ratio)
- creatinine level
- lactic acid level
- liver enzyme levels (elevated AST, ALT, bilirubin, alkaline
phosphatase)
- serum phosphate level (hypophosphatemia)
- acute oliguria (UO < 0.5 ml/kg/hour
- C reactive protein level elevated
- procalcitonin level elevated
●● SIRS criteria
, Answer: meet two or more of the following
- temperature < 36 degrees C or > 38 degrees C
- heart rate > 90 bpm
- RR > 20 breaths
- WBC count < 4000 or > 1200, or >10%
●● qSOFA criteria
Answer: meet two or more of the following
- RR great or equal to 22
- altered mental status
- SBP less than or equal to 100 mmHg
●● Prediction models
Answer: early sepsis prediction from the sepsis screening tools can be
built into EHRs
- monitors HR, Temp, DBP, RR, SpO2
- if abnormal gives a sepsis alert
●● risk factors for sepsis
Answer: - anyone on an antibiotic
- very young or very old
- invasive lines/drains
REASONING EXAMINATION TEST
COMPLETE QUESTIONS AND SOLUTIONS
●● sepsis
Answer: immune systems response to severe infections (bacterial,
fungal, or viral) leading to the damage and failure of organs and death
●● CLABSI bundle
Answer: - use appropriate hand hygiene
- use chlorhexidine for skin precaution
- use full barrier precautions during catheter insertion
- avoid using the femoral vein for catheters in adult patients
- remove unnecessary central lines
- change dressing as per hospital
●● build up of lactic acid in the blood?
Answer: - lactic acidosis
●● blood lactate levels arterial range?
Answer: 0.5-2.0 mmol/L
,●● blood lactate levels venous range?
Answer: 0.5-1.5 mmol/L
●● increased level of lactic acid indicates what?
Answer: hypoperfusion
global indicator of tissue oxygenation
●● lab indicators of Sepsis
Answer: - WBC
- Glucose
- arterial hypoxemia (P/F ratio)
- creatinine level
- lactic acid level
- liver enzyme levels (elevated AST, ALT, bilirubin, alkaline
phosphatase)
- serum phosphate level (hypophosphatemia)
- acute oliguria (UO < 0.5 ml/kg/hour
- C reactive protein level elevated
- procalcitonin level elevated
●● SIRS criteria
, Answer: meet two or more of the following
- temperature < 36 degrees C or > 38 degrees C
- heart rate > 90 bpm
- RR > 20 breaths
- WBC count < 4000 or > 1200, or >10%
●● qSOFA criteria
Answer: meet two or more of the following
- RR great or equal to 22
- altered mental status
- SBP less than or equal to 100 mmHg
●● Prediction models
Answer: early sepsis prediction from the sepsis screening tools can be
built into EHRs
- monitors HR, Temp, DBP, RR, SpO2
- if abnormal gives a sepsis alert
●● risk factors for sepsis
Answer: - anyone on an antibiotic
- very young or very old
- invasive lines/drains
