Campus Collusion
Review Questions for Test Preparation

       
    

  



Sepsis and SIRSMedical-Surgical Nursing-7th edition

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 2
Skip Navigation Links
Question Answer
SIRS can be triggered by infection and _______, meaning SIRS is possible without having to be septic.
Show Answer
trauma, burns, MI, pancreatitis or other inflammatory process
What are 2 common findings associated with sepsis?
Show Answer
Infection with decreased BP.
What hematological labs are seen with severe sepsis/MODS?
Show Answer
Thrombocytopenia (p/t below 80,000), 50% decline in p/ts over 3 days, increased PT/INR, increased PTT, increased K+, decreased protein C, and increased D-dimer.
What causes the bleeding associated with severe sepsis/MODS?
Show Answer
Fibrin split products (FSP) or fibrin degradation products (FDP) are released to breakdown microthrombi. Too much is released leading to bleeding.
Doses of Vasopressin/ Pitressin to induce vasoconstriction and increase BP shouldn't exceed _______.
Show Answer
0.04 units/minute (risk of MI and cardiac arrest)
What are the goals within the 1st 6 hours for a septic patient?
Show Answer
BP over 65 (MAP) and U/O increased (fluids); CVP 8-12 via central line; blood cultures (2 from 2 sites, one which is peripheral); and IV abx within 1 hour of diagnosis.
What symptoms of sepsis are r/t the vasodilation caused by cytokine release?
Show Answer
Hypotension and drop in body temperature ( cold sepsis ).
An increased risk of death is associated with sepsis patients with what factors?
Show Answer
APACHE II score over or equal to 25, vasopressors, and/or 2 or more dysfunctional organs.
What symptoms of sepsis are r/t the increased capillary permeability caused by cytokine release?
Show Answer
3rd spacing and contributes to hypotension.
A serum lactate level greater than _______ is indicative of decreased tissue perfusion r/t sepsis.
Show Answer
4
Download these questions to your phone here
What is the underlying pathology of a SIRS/sepsis infection?
Show Answer
The body is unable to localize the infectious agent. Endotoxins are released and enter the bloodstream. Excessive immunomodulators are released resulting in an exaggerated systemic response.
What effects of SIRS are caused by cytokines?
Show Answer
Vasodilation, increased capillary permeability, and increased coagulation.
What is the difference between sepsis and systemic inflammatory response sydrome (SIRS)?
Show Answer
With SIRS, the inflammation is caused by an unknown pathogen. With sepsis, the source of infection is known.
What are the two most common etiologies for sepsis?
Show Answer
Pneumonia or a urinary tract infection
If a patient has to be given ___________ after an infection is detected, they have severe sepsis.
Show Answer
Vasopressors
If a patient with sepsis demonstrates a need for vasopressors, this indicates __________ insufficiency which is treated with IV hydrocortisone.
Show Answer
Adrenal insufficiency
How is adrenal insufficiency related to sepsis treated?
Show Answer
IV hydrocortisone
_________ are immunomodulators released during systemic inflammatory response syndrome and sepsis that are released by white blood cells that trigger vasodilation, increased capillary permeability and coagulation.
Show Answer
Cytokines
__________ is the last stage of severe sepsis.
Show Answer
Multiple Organ Dysfunction (MODS)
What is a fluid challenge and what does it diagnose?
Show Answer
It is an infusion of 500 to 1000 mL of crystalloids or 300 to 500 mL of colloids infused over 30 minutes. It diagnoses septic shock if the patient's blood pressure or urine output doesn't improve.
How is sepsis determined to be severe?
Show Answer
Sepsis that leads to organ dysfunction or hypotension. It is the result of a failure of the cardiovascular system.
  
Page 2 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links