Sepsis

Sepsis & MODS CCRN Review Hildy Schell,RN,MS,CCRN,CCNS CNS, Adult Critical give care UCSF medical checkup Center Objectives By the murder of class, the participant will be able to: 1. Identify the pathophysiologic mechanisms of sepsis that whiz to MODS. 2. List the clinical founding of a patient with frightening sepsis & MODS. 3. List nursing priorities for supervise & management of the patient with flagitious sepsis. 4. List the goals of therapy and priority interventions for severe sepsis & septic shock. Definitions Colonization befoulment Infection Bacteremia/Fungemia/viremia SIRS: Sepsis Severe Sepsis Septic check all over MODS: multiple organ disfunction syndrome systemic inflammatory rejoinder syndrome Sepsis ? Sepsis: systemic inflammatory receipt to an infection. ? Characterized by 2 or more of following: T > 38º or < 36º C HR > 90 RR > 20 or PaCO2 < 32 WBC > 12k, < 4k, or > 10% bands.

Severe Sepsis ?Severe Sepsis: Sepsis with manifestations of organ dysfunction AMS Hypoxemia Oliguria ? lactate levels 1 Septic surprise ?Septic Shock: Severe sepsis plus hypotension/ proportional hypotension ?SBP < 90 or ?40 mmHg from baseline SIRS Pancreatitis Infection SEPSIS Trauma Burns Other comparison of Sepsis and SIRS Sepsis ? ? ? ? ? Emergency Department (1000) ? 49 A major cause of morbidness & cobblers last rate worldwide booster cable cause of destruction in Non-?ICUs in U.S. ICU mortality is 4 x great if severe sepsis is present tenth leading cause of death in U.S. Estimated that it costs over 17 billion $$$ per annum to care for patients with severe sepsis y.o. female, teacher, mother, married woman cough, hemoptysis, SOB ? PMHx: negative ? Cool, clammy, sudorific ? Thready pulses, crackles/rhonci ? Awake, coherent ? HR 130, BP 80/45, T 36.4, RR 24 ? Sp02 92% on 4LPM via NC ? c/o Risk Factors Age Malnutrition go along Illness: DM, ESRD, ESLD, CA, HIV Medications Medical/Surgical interventions Pheresis Splenectomy ...If you prerequisite to get a encompassing essay, order it on our website: Ordercustompaper.com

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