100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Pediatric CCRN Updated 2024/2025 Verified 100% $7.99   Add to cart

Exam (elaborations)

Pediatric CCRN Updated 2024/2025 Verified 100%

 6 views  0 purchase
  • Course
  • Pediatric CCRN
  • Institution
  • Pediatric CCRN

Septic Shock Management Step Three - -Antibiotics (first 60 min) -Broad Spectrum antibiotics -Try to obtain culture first -Consider IM administration if hard to get IV access - Start with Gram Negative spectrum before Gram Positive Septic Shock Management Step One - - Recognition and Access: ...

[Show more]

Preview 2 out of 5  pages

  • September 8, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pediatric CCRN
  • Pediatric CCRN
avatar-seller
ACADEMICMATERIALS
Pediatric CCRN
Septic Shock Management Step Three - -Antibiotics (first 60 min)

-Broad Spectrum antibiotics

-Try to obtain culture first

-Consider IM administration if

hard to get IV access

- Start with Gram Negative spectrum before Gram Positive



Septic Shock Management Step One - - Recognition and Access: Diminished LOC, begin HFNC, if
hypoxic intubate

- Start IV access: peripheral or central



What does SIRS stand for? - Systemic Inflammatory Response Syndrome



Key characteristics of Endotheliopathy - • Capillary leak

• Vasomotor paralysis tone of vessels not normal

• Leukocyte infiltrations

• Coagulopathy

• Myocardial depression

• Immune-compromise



Patient Qualifications of SIRS based off clinical findings. - Two Abnormalities

-Must be abnormalities of temperature (greater than 38 rectal or less than 36 rectal) or WBC in children

-Other abnormalities include:

1. HR (Tachycardia)

2. RR (Tachypnea)

3. PaCo2 Less than 32

4. Abnormal WBC>12,000 or less than 4,000

, 5. WBC bands greater than 10% differential



Management of SIRS - 1. Treat underlying Cause

2.Manage coagulopathies: thrombocytopenia← replace platelet, clot formation← give thrombolytic,
bleeding

3. Mange the endothelipathies: stop inciting insult, fluid resuscitate, increase plasma oncotic pressure
(colloid administration)

4. Promote Vasoconstriction: Alpha Agonist



Septic Shock - - Sepsis plus CV dysfunction: Abnormal perfusion as well as hypotension.

- Children able to maintain BP longer than Adults




Septic Shock Management Step Two - - Fluid Resuscitation

- Rapid administration 20mL/Kg bolus of isotonic crystalloid

-Run over 5-10 minutes

• 0.9% NaCL (normal saline)

• Lactated ringers




Septic Shock Management Step Four - 4. Inotropic Agent support



WARM SHOCK - 1. High cardiac output

2. Low Systemic Vascular Resistance (SVR)



Inotropic Agent for Warm Shock? - 1. Dopamine

2. Nor-epi

*Utilize EPI or Vasopressin if not responsive

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

80461 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.99
  • (0)
  Add to cart