Sirs organ dysfunction Study guides, Study notes & Summaries

Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome Test Bank MULTIPLE CHOICE 1. A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours. The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low. Which order by the health care provider will the nurse question? a. Give PRN furosemide (Lasix) 40 mg IV. b. Increase normal saline infusion to 250 mL/hr. c. Administer hydrocortisone (Solu-Cortef) 100 ...

Question 1 of 5 What are the criteria for the diagnosis of systemic inflammatory response syndrome? Select all that apply. Oliguria Tachypnea Hypoxemia Tachycardia Leukocytosis - AnswerTachypnea Tachycardia Leukocytosis Question 2 of 5 The condition of suppressed immunity following systemic inflammatory response syndrome is _______________. compensatory anti-inflammatory response syndrome hepatic failure multiple organ dysfunction syndrome septic shock septicemia - Answercompens...

1. list ottawa ankle rules 2. where should you also check on exam/be aware of? - correct answer 1. inability to walk 4 steps immediately & in ED + any of the following: - medial malleolus tenderness - lateral malleolus tenderness - navicular tenderensss - 5th metatarsal tendereness 2. check fibular head tenderness- twisting injury ~ fibular fx name SIRS criteria (4) Describe CHEST study findings - correct answer 1. Temp < 36 or >38 2. HR >90 3. RR >20 or PaCO2 <32 4. ...

What is the main result of the progressive stage of shock? - Major organ dysfunction/MODS Clinical manifestations of moderate hypovolemic shock (30% loss or 1.5L) - Anxiety Tachypnea Mild tachycardia Clinical manifestations of severe hypovolemic shock (40%+ or 1.5-2 L) - HR >110 Hypotension (SBP <100) Confusion Low UO Cool, clammy skin Faint or absent peripheral pulses Clinical manifestations of cardiogenic shock - SBP <90 for 30+ mins Chest pain Pulmonary congestion Dysp...

The first principle in the management of trauma patients CORRECT ANSWER the primary survey is ABCDE and stands for: A = airway B = breathing C = circulation D = disability E = exposure. Classification of Shock CORRECT ANSWER SIRS criteria CORRECT ANSWER 2/4 of the criteria -- Temp > 38.5 (101.4F) or < 35 (95 F) -- Pulse > 90 -- Resp > 20 -- WBC > 12,000, < 4000, > -- 10% bands Sepsis CORRECT ANSWER Severe sepsis criteria CORRECT ANSWER *Sepsis ...

SIRS, Sepsis, Septic Shock & ARDSWhat is SIRS? Systemic inflammatory response syndrome What is the pathophysiology for SIRS? Tissue injury secondary to activation of inflammatory system that may officer with non-infectious disorder What are the signs and symptoms of SIRS? 1) Temperature of above 38 degrees or below 36 degrees 2) Respiratory rate of >20 3) PaCO2 of below 4.3 kpa (hyperventilating) 4) White blood cell count of >1200/mm3 or <4000/mm3 or >10% ...

What are the criteria for the diagnosis of systemic inflammatory response syndrome (SIRS)? Select all that apply. Tachypnea Leukocytosis or leukopenia Hyperthermia or hypothermia Oliguria Tachycardia - Tachypnea Tachycardia Leukocytosis or leukopenia The condition of suppressed immunity after systemic inflammatory response syndrome is _______________. septic shock syndrome septicemia compensatory anti-inflammatory response syndrome multiple organ dysfunction syndrome - compensatory...

Introduction : There are numerous medical conditions and events that can lead to shock, sepsis, systemic inflammatory response syndrome (SIRS), and multiple organ dysfunction syndrome (MODS). The nurse must not only understand each one separately, but also explain how they influence each other. Shock is a syndrome that occurs when there is a decrease in tissue perfusion and cellular metabolism; it may result from a variety of conditions. During shock, cells do not receive the oxygen a...

A nurse comments that a patient is displaying an overwhelming immune response to trauma. Which acronym would apply to the nurse's statement? - Answer-SIRS A nurse is caring for several patients. Of the following, which patient should the nurse be most concerned about developing sepsis? - Answer-renal transplant patient on immunosuppressants Which of the following characteristics will be present if the patient is experiencing "warm shock"? - Answer-the patient appears pink and the skin fe...

1. list ottawa ankle rules 2. where should you also check on exam/be aware of? correct answer: 1. inability to walk 4 steps immediately & in ED + any of the following: - medial malleolus tenderness - lateral malleolus tenderness - navicular tenderensss - 5th metatarsal tendereness 2. check fibular head tenderness- twisting injury ~ fibular fx name SIRS criteria (4) Describe CHEST study findings correct answer: 1. Temp < 36 or >38 2. HR >90 3. RR >20 or PaCO2 <32 4. ...