CDM /
Exam 4 Questions With Correct Answers
/ // // // // //
Patho /
/of //Sepsis //(7 //steps) //- //CORRECT //ANSWERS(S)✔✔1) //Body's //immune //response //is //triggered
2) /
/White /
/blood /
/cells //come //to //help //(inflammatory //mediators, //interferons, //cytokines, //and //histamine)
3) //Vasodilation, //capillary //leak, //and //blood //clotting
4) //There //is //not //enough //blood //flow //to //the //organs //(BIG //PROBLEM)
5) //Metabolic //acidosis //(due //to //organs //not //getting //enough //O2)
6) //Septic //shock //(pt //is //not //responding //to //fluid //treatment) //
7) //MODS //(multiple //organ //dysfunction //syndrome) //(two //or //more //organs //have //failed)
Fluid //Resuscitation //with //Sepsis //- //CORRECT //ANSWERS(S)✔✔Give //30 //mL //of //fluid //per //kg //of
//body //weight
(Stronger //meds //will //be //given //if //not //responding. //Occurs //if //pt //advances //to //septic //shock)
Why /
/do /
/patients /
/need /
/vasopressors /
/during /
/Septic /
/Shock? //- /
/CORRECT /
/ANSWERS(S)✔✔When //
,a/
/patient /
/is /
/having /
/persistent /
/hypotension /
/that /
/isn't /
/responding //to //fluid, //needs //vasopressors //to //maintain //MAP //>65, //and //lactate //>2 //mmol/L
Examples //of //Vasopressors //- //CORRECT //ANSWERS(S)✔✔-
*Norepinephrine //(1st //choice //of //tx //for //septic //shock)*
-Epinephrine
-Vasopressin
-Dopamine
*These //CONSTRICT //blood //vessels //to //raise //BP!*
Which /
/complication /
/can /
/occur /
/due /
/to /
/the /
/norepinephrine /
/requiring /
/close /
/observation /
/while //on //the //medication? //- //CORRECT //ANSWERS(S)✔✔*Peripheral //tissue //necrosis!*
-Infiltration //of //norepinephrine: //tissue //ischemia //and //necrosis //of //affected //area
-Must //check //IV //site //hourly
-
Must /
, /be /
/given /
/in //large //vessel //(want //blood //to //help //cover //this //drug //to //prevent //destruction //of //vessel)
What /
/assessments /
/must //you //perform //with //norepinephrine //admin? //- //CORRECT //ANSWERS(S)✔✔1) //Cap //refill
2) //ALL //pulses
3) //Skin //temp
4) //Ability //to //move //finger/toes
5) //Sensation //(soft/hard)
6) //LOC
7) //UO
MAP //- //CORRECT //ANSWERS(S)✔✔Mean //arterial //pressure
-Normal: //65-100
-The //average //pressure //in //a //patient's //arteries //during //one //cardiac //cycle
-*Best //indicator //of //perfusion //in //the //body*
-*If //MAP //is //below //65, //the //body //is //NOT //perfusing //well!*
Septic /
/Shock //- /
/CORRECT /
/ANSWERS(S)✔✔1) /
/Septic /
/shock /
/occurs /
/due //to //sepsis //and //leads //to //a //major //decrease //in //tissue //perfusion //to //organs //and //tissues!
2) /
/Shock /
Exam 4 Questions With Correct Answers
/ // // // // //
Patho /
/of //Sepsis //(7 //steps) //- //CORRECT //ANSWERS(S)✔✔1) //Body's //immune //response //is //triggered
2) /
/White /
/blood /
/cells //come //to //help //(inflammatory //mediators, //interferons, //cytokines, //and //histamine)
3) //Vasodilation, //capillary //leak, //and //blood //clotting
4) //There //is //not //enough //blood //flow //to //the //organs //(BIG //PROBLEM)
5) //Metabolic //acidosis //(due //to //organs //not //getting //enough //O2)
6) //Septic //shock //(pt //is //not //responding //to //fluid //treatment) //
7) //MODS //(multiple //organ //dysfunction //syndrome) //(two //or //more //organs //have //failed)
Fluid //Resuscitation //with //Sepsis //- //CORRECT //ANSWERS(S)✔✔Give //30 //mL //of //fluid //per //kg //of
//body //weight
(Stronger //meds //will //be //given //if //not //responding. //Occurs //if //pt //advances //to //septic //shock)
Why /
/do /
/patients /
/need /
/vasopressors /
/during /
/Septic /
/Shock? //- /
/CORRECT /
/ANSWERS(S)✔✔When //
,a/
/patient /
/is /
/having /
/persistent /
/hypotension /
/that /
/isn't /
/responding //to //fluid, //needs //vasopressors //to //maintain //MAP //>65, //and //lactate //>2 //mmol/L
Examples //of //Vasopressors //- //CORRECT //ANSWERS(S)✔✔-
*Norepinephrine //(1st //choice //of //tx //for //septic //shock)*
-Epinephrine
-Vasopressin
-Dopamine
*These //CONSTRICT //blood //vessels //to //raise //BP!*
Which /
/complication /
/can /
/occur /
/due /
/to /
/the /
/norepinephrine /
/requiring /
/close /
/observation /
/while //on //the //medication? //- //CORRECT //ANSWERS(S)✔✔*Peripheral //tissue //necrosis!*
-Infiltration //of //norepinephrine: //tissue //ischemia //and //necrosis //of //affected //area
-Must //check //IV //site //hourly
-
Must /
, /be /
/given /
/in //large //vessel //(want //blood //to //help //cover //this //drug //to //prevent //destruction //of //vessel)
What /
/assessments /
/must //you //perform //with //norepinephrine //admin? //- //CORRECT //ANSWERS(S)✔✔1) //Cap //refill
2) //ALL //pulses
3) //Skin //temp
4) //Ability //to //move //finger/toes
5) //Sensation //(soft/hard)
6) //LOC
7) //UO
MAP //- //CORRECT //ANSWERS(S)✔✔Mean //arterial //pressure
-Normal: //65-100
-The //average //pressure //in //a //patient's //arteries //during //one //cardiac //cycle
-*Best //indicator //of //perfusion //in //the //body*
-*If //MAP //is //below //65, //the //body //is //NOT //perfusing //well!*
Septic /
/Shock //- /
/CORRECT /
/ANSWERS(S)✔✔1) /
/Septic /
/shock /
/occurs /
/due //to //sepsis //and //leads //to //a //major //decrease //in //tissue //perfusion //to //organs //and //tissues!
2) /
/Shock /
