Septic Shock UPDATED Exam Questions and CORRECT Answers

Septic Shock UPDATED Exam Questions
and CORRECT Answers
What is shock? - CORRECT ANSWER - hypoperfusion, hypercoagability, and the activation
of the inflammatory response system


The septic process - CORRECT ANSWER - sepsis
sytstemic inflammatory response syndrome
severe sepsis
septic shock
multi-system organ dysfunction syndrome
death


The systemic response to known infection is manifested by at least two of these symptoms: -
CORRECT ANSWER - temperature >100.4 F or <96.8 F


HR <90


RR> 20


PaCO2 <32


WBC >12000 or <4000


Sepsis - CORRECT ANSWER - starts with an infection
when an infection goes systemic~
one of the most common reasons people end up in the ICU

, Systemic inflammatory response syndrome (SIRS) - CORRECT ANSWER - response to a
severe clinical insult, manifested by the same clinical criteria as sepsis


Severe sepsis - CORRECT ANSWER - sepsis associated with organ dysfunction,
hypoperfusion and/or hypotension


What are signs/symptoms of hypoperfusion - CORRECT ANSWER - lactic acidosis
oliguria
acute alteration in mental status


Septic Shock - CORRECT ANSWER - *sepsis with hypotension despite fluid volume
resuscitation*


~includes complex interactions among invading microorganisms and the immune system,
inflammatory system, and the coagulation system (DIC)


-proinflammatory cytokines are released causing an "out of control" inflammatory response


-activation of the immune response, complement system, and coagulation system


~~increased capillary permeability


-causes cardiovascular, pulmonary, and hematologic alterations


Nutritional Therapy for shock patients - CORRECT ANSWER - *early enteral feeding*


administration of glutamine


administration of H2 blockers or proton pump inhibitors