Sepsis Questions

A patient that is 5 days post op, has bowel perforation, oliguria, increased WBC's, and edema, what are these symptoms a sign of? - MODS A patient with sepsis with compromised endothelium cells - 1. Fluid coming out of the vascular space 2. No clotting factors left in the large vessels or arteries (this happened b/c of fibrinolysis - broke down the clots) A patient with severe sepsis gets a 500cc bolus of NS which increases their BP, What are appropriate interventions at this stage? - 1. Fluid resuscitation 2. Culture specific antibiotic therapy (Not vasopressors) ICU client has oliguria, increase creatinine, tachypnea, and altered LOC; the patient is presenting what stage of sepsis. - Severe Sepsis Patient blood pressure is 76/66, after fluid resuscitation the patient's blood pressure is 89/75. What stage are they in? - SIRS Sepsis Severe Sepsis *Septic Shock* Sepsis patient what is the order of interventions? - 1st IV fluids 2nd Culture 3rd Antibiotics The nurse is caring for a patient with sepsis. At the beginning of the shift, the patient is in a hypodynamic state. Several hours later, the patient's BP is elevated and pulse is bounding. How does the nurse interpret this change? - 1. A positive response & a signal of recovery 2. Temporary situation that is likely to normalize