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411 Final

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jsamuels12313's version from 2015-12-10 22:12

Section

Question Answer
What is the diagnostic criteria for SIRS? RR > 20 or PaCO2 <32 Temp >100.4 or <96.8 Pulse > 90 WBC > 12,000 or <4,000 or > 10% bands
What is the diagnostic criteria for SEPSIS?arterial hypotension <90mmHg, MAP <70, SBP decrease by 40mmHg; hypoxia, acute oliguria, coag abnormalities, increase BUN/Creatinine, ileus, PLT <100,000
What is the diagnostic criteria for SEVERE SEPSIS?sepsis induced hypotension, decreased U/O despite fluid resuscitation, ALI (PaO2/FiO2 <250 w/o PNA, PLT <100,000
What interventions need to be completed w/i 3 hours for sepsis?measure lactate, obtain blood cultures, admin broad spectrum abx, admin 30ml/kg crystalloid for hypotension or lactate > 4mmol/L
What interventions need to be completed w/i 6 hours for sepsis?vasopressors if fluids do not work to keep MAP > 65, measure CVP goal > 8mmHg
Hemodynamics for Neurogenic shock↓CVP, PAWP, MAP, PRELOAD, CO, SVR
Hemodynamics for Cardiogenic shock↓CO, CI, SV; ↑PAWP, CVP, SVRI
Hemodynamics for Hypovolemic shock ↓PAWP, MAP, CVP, PRELOAD, SV, CO, CI; ↑SVRI
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