| A | B |
|---|
| Reason that identification of cases is not reliable... | entry points are busier with long wait times; early findings are hard to distinguish from a lot of other problems; in the elderly, the findings can be very subtle and masked by underlying illness, screening methods suffer from low specificity |
| Lab criteris for sepsis... | WBC (<4 or >12); specific organ function tests (liver enzymes, renal function, etc.); coagulation abnormalities (PT, PTT, fibrinogen, D-dimer, etc.) |
| What does lactic ackd show? | It's a marker of anaerobic metabolism found in sepsis |
| Measures to correct hypoperfusion... | volume resuscitation, packed red cells, pressors and inotropes |
| These are ways to monitor the success of early resuscitation... | Arterial blood pressure (A-line), central venous pressure, urine output, arterial oxygen saturation, serial lactate measurements |
| IVF of choice for fluid resuscitation... | Normal saline (LR if surgical intervention is necessary) |
| Common problem that develops due to the amount of fluid resuscitation needed... | pulmonary edema |
| Probable need for this if pulmonary edema occurs... | mechanical ventilation |
| Volume of fluid resuscitation is typically based on this... | CVP measurements |
| For correction of abnormal DO2, many published guidelines suggest keeping HCT at this level... | >30% |
| Use these if fluid resuscitation does not correct hypotension... | vasopressors and inotropes |
| Goal of hemoglobin saturation for respiratory support... | As close to 100% as possible |
| 25-30% of patients metablic demands commonly arise from this... | work of breathing (mechanical ventilation can relieve this) |
| the only agent that's been shown to be of clear benefit in sepsis and reason it's not commonly used... | Activated protein C - expensive ($8000 per patient) |
