Prairie State College - NURS 123 Sepsis Sim / Sepsis, Septic Shock,and MODS (answered)

Sepsis, Septic Shock,and MODS 1. Differentiate between the following terms: 2. Identify the nursing priorities in the care of the patient with sepsis and septic shock. 3. What class of bacteria is responsible for more than one half of the cases of septic shock? What are some common causes of this? 4. Explain why myocardial depression is almost always present in a patient with septic shock despite an initial rise in cardiac output. 5. Discuss the cascade of host inflammatory responses that produce the major detrimental effects seen in sepsis due to gram-negative bacteria. 6. What is early goal-directed therapy in the management of sepsis? 7. Identify the treatment guidelines currently recommended for the management of sepsis and septic shock. 8. Discuss how the drug dobutamine affects cardiac output. Identify the nursing implications with the administration of this drug. 9. Discuss how norepinephrine works and its indications for use. Identify the nursing implications with the administration of this drug. 10. Discuss how drotrecogin alfa works and its indications for use. Identify the nursing implications with the administration of this drug. 11. Describe the concept of ScvO2 monitoring. Identify the significance of abnormally high and low ScvO2 readings. 12. Describe the nursing responsibilities in assisting with central line insertion. 13. Discuss the importance and rationale for central line placement in a patient with sepsis. 14. Describe the physiologic alterations of each organ system identified below that may be associated with aging and potentially impact a patient’s ability survive sepsis or septic shock: Cardiac/Renal/Immune/Hematologic 15. If a patient has no advanced directives and no immediate family to make a decision regarding his care, what options are available to the healthcare team? Discuss whether you feel this patient should or should not be a full code blue. Defend your position.