Septic Shock Management Exam Questions Answered Correctly (Graded A+)
what is the definition of shock - Answers - hypotension, characterized by SBP <90, AMP <70, or decreased of >40 from based line with perfusion abnormalities despite adequate fluid resuscitation
- cellular dysoxia: d...
what is the definition of shock - Answers - hypotension, characterized by SBP <90, AMP <70, or
decreased of >40 from based line with perfusion abnormalities despite adequate fluid resuscitation
- cellular dysoxia: diminished blood circulation, inadequate blood flow to the tissues, results in anaerobic
metabolism
what is the clinical presentation of shock - Answers - s/sx may initially be subtle
- organ dysfunction
- serum lactate >2mMol/L
what is the definition of Systemic Inflammatory Response Syndrome (SIRS) - Answers generalized
inflammatory response triggered by an infectious or non-infectious event; 2 of the 4 criteria must be
present:
- HR >90
- RR >20 or PaCO2 <32
- temp >38C or <36C
- WBC >12 or <4 or ≥ 10% leukocytes
what is the initial therapeutic management for shock - Answers - establish vascular access: venous
access, central venous catheter
what is early, goal-directed therapy (EGDT) and what do you have to know about it - Answers -
protocolized, quantitative resuscitation of patients with sepsis-induced tissue hypoperfusion
- EGDT in the 1st 6hrs after presentation to the ED with severe sepsis and septic shock was associated
with 16% absolute risk reduction in hospital mortality
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