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CMS1 Sepsis Exam Questions With Complete Solutions
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CMS1 Sepsis Exam Questions With Complete Solutions
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CMS1 Sepsis Exam Questions With Complete Solutions-Why would someone with a UTI have a decrease in urine
output?
-Why would someone with a hip infection have a drop in O2
sat?
-Why are the kidneys and lungs being affected by an infection
that has nothing to do with these organs? Correct Answers
Why would someone with a UTI have a decrease in urine
output?
-Decreased renal perfusion
Why would someone with a hip infection have a drop in O2 sat?
-Sepsis
Why are the kidneys and lungs being affected by an infection
that has nothing to do with these organs?
-Perfusion issue
Every hour a pt is septic w/out interventions increases mortality
by how much? Correct Answers 8%
How can we tell if hematologic status is deteriorating for pts
with severe sepsis and septic shock? Correct Answers -
Monitor for bruising, bleeding
-Monitor coagulation: platelet count, PT/INR, aPTT
, How can we tell if hemodynamic status is deteriorating for pts
with severe sepsis and septic shock? Correct Answers -
Monitor HR/rhythm, and observe for new ectopy (dysrhythmias)
-Monitor for evidence of ↓ cardiac output (decreased BP, high
HR, skin, kidney perfusion) & ↓ SVR
How can we tell if hepatic/GI status is deteriorating for pts with
severe sepsis and septic shock? Correct Answers -Monitor for
N/V, abdominal distention, changes in bowel sounds, ↑ enteral
residuals (>200ml)
-Monitor for hyperbilirubinemia (liver failure), ↑ levels of liver
enzymes
How can we tell if neurological status is deteriorating for pts
with severe sepsis and septic shock? Correct Answers Monitor
for changes in mental status:
--Restlessness
--Confusion
--Changes in GCS score
How can we tell if nutritional/metabolic status is deteriorating
for pts with severe sepsis and septic shock? Correct Answers -
Provide nutrition support (whatever they can tolerate)
-Enteral: intact gut barrier in preventing translocation of gram
negative bacteria—don't want bacteria to go into blood
-Maintain nitrogen balance (protein) in hyper-metabolic states
-Normalize glucose (140-180)
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