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
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
